My SciELO
Services on Demand
Journal
Article
Indicators
Cited by SciELO
Access statistics
Related links
Cited by Google
Similars in SciELO
Similars in Google
Share
Pediatría Atención Primaria
Print version ISSN 1139-7632
Abstract
LLORCA LAIA, Bort; OLLERO LAURA, Pérez and FAURA JAVIER, Soriano. The active search of patients improves vaccination coverage. Rev Pediatr Aten Primaria [online]. 2016, vol.18, n.70, pp.151-155. ISSN 1139-7632.
Objective:
improve vaccination coverage in the health center Fuensanta by actively seeking improperly vaccinated patients.
Material and methods:
design: single-blind clinical trial. Location: pediatric patients of health center Fuensanta. Participants: 736 patients, 401 in the intervention group and 335 in the control group. 28 patients who did not attend the CS in 24 months prior to the study and 2 refused to be vaccinated. Interventions: search active involvement of patients incorrectly vaccinated by telephone, letter and alarms in Computerized Medical Record and observation of vaccination status in the control group.
Main measurements:
variables: immunization status at the end of the study period; age; control group or the intervention group. Relative risk (RR), absolute risk reduction (ARR) and number needed to treat (NNT) was calculated. Results: overall improvement in the intervention group of 3.59 RR (95% CI: 2.07 to 6.22); RR 6.30 (95% CI: 1.72 to 23.10) at 3 years and RR 6.44 (95% CI: 1.38 to 29.96) at 6, with improvement, statistically not significant, at 14 (p 0.07), RR 2.22 (95 % CI: 0.90 to 5.43). Effect of active search at 3, 6 and 14: RRA 89.3% (95% CI 71.99 to 97.1) and NNT 1.11, RRA 81.1% (95% CI: 51.15 to 96, 01) and NNT 1.22; RRA 74.29% (95% CI 57.75 to 86.02) and NNT 1.33 respectively.
Conclusions:
The active search was effective at 3 and 6 years. At 14, the active search, not being statistically significant, improved immunization status prominently.
Keywords : Vaccine; Coverage; Active search.