Adult immunization in university-based primary care and specialty practices.

Abstract:

:The purpose of this study was to assess vaccination status of adults in primary and specialty care practices in a retrospective review of medical records from 1997 to 2000 at one university medical center. Eligible patients were aged 50 and older and had two or more visits to primary and specialty care practices (N=14,556). Outcomes were receipt of pneumococcal vaccine once, tetanus booster within 10 years, and influenza vaccine in 2 of the 3 years. Vaccination rates for patients aged 65 and older were 59% for pneumococcal, 51% for tetanus, and 32% for influenza. Asians, Latinos, and African Americans were more likely than whites to have received influenza, pneumococcal, or tetanus vaccinations. Patients seen in primary care (41%) or in both primary care and specialty practices (42%) were more likely to receive adequate vaccination than those in specialty practices (17%) (P<.001). For pneumococcal vaccinations, relative to patients receiving specialty care only, patients receiving primary care only had an adjusted odds ratios (OR) of 6.6 (95% confidence interval (CI)=5.6-7.7) and patients in both primary care and specialty care had an OR of 7.2 (95% CI=6.2-8.3). For influenza, the corresponding ORs were 3.9 and 4.8, respectively, and for tetanus, 4.6 and 5.2. Patients who received care only from specialty practices were less likely than those with some primary care to receive adequate adult vaccinations. With the exception of Russian immigrants, the study did not find that racial and ethnic minorities had lower rates of vaccination than whites.

journal_name

J Am Geriatr Soc

authors

Daniels NA,Nguyen TT,Gildengorin G,Pérez-Stable EJ

doi

10.1111/j.1532-5415.2004.52273.x

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

1007-12

issue

6

eissn

0002-8614

issn

1532-5415

pii

JGS52273

journal_volume

52

pub_type

杂志文章
  • Compression injury of the sciatic nerve during a prolonged surgical procedure in a diabetic patient.

    abstract::Patients with diabetes mellitus and an underlying mixed axonal and demyelinating polyneuropathy are particularly prone to compression neuropathies with consequent axonal degeneration and a poor prognosis for recovery. This hazard should be taken into account whenever a prolonged surgical procedure is contemplated. An ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1980.tb00515.x

    authors: Massey EW,Pleet AB

    更新日期:1980-04-01 00:00:00

  • Use of microvascular flap technique in older adults with head and neck cancer: a persisting dilemma in reconstructive surgery?

    abstract:OBJECTIVES:To compare perioperative problems and outcomes of reconstructive surgery with microvascular flaps of a group of older (≥ 70) and younger adults (20-69). DESIGN:Prospective clinical cohort study. SETTING:Maxillofacial surgical unit of a university teaching hospital in Munich, Germany. PARTICIPANTS:Two hund...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2011.03315.x

    authors: Kesting MR,Hölzle F,Wolff KD,Wagenpfeil S,Hasler RJ,Wales CJ,Steinstraesser L,Rohleder NH

    更新日期:2011-03-01 00:00:00

  • The cross-sectional relationship between body mass index, waist-hip ratio, and cognitive performance in postmenopausal women enrolled in the Women's Health Initiative.

    abstract:OBJECTIVES:To determine whether body mass index (BMI) is independently associated with cognitive function in postmenopausal women and the relationship between body fat distribution as estimated by waist-hip ratio (WHR). DESIGN:Cross-sectional data analysis. SETTING:Baseline data from the Women's Health Initiative (WH...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2010.02969.x

    authors: Kerwin DR,Zhang Y,Kotchen JM,Espeland MA,Van Horn L,McTigue KM,Robinson JG,Powell L,Kooperberg C,Coker LH,Hoffmann R

    更新日期:2010-08-01 00:00:00

  • Speech perception in older adults: the importance of speech-specific cognitive abilities.

    abstract:OBJECTIVE:To provide a critical evaluation of studies examining the contribution of changes in language-specific cognitive abilities to the speech perception difficulties of older adults. DESIGN:A review of the literature on aging and speech perception. CONCLUSIONS:The research considered in the present review sugges...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/j.1532-5415.1997.tb03101.x

    authors: Sommers MS

    更新日期:1997-05-01 00:00:00

  • What Is an Observation Stay? Evaluating the Use of Hospital Observation Stays in Medicare.

    abstract:BACKGROUND/OBJECTIVES:Observation stays are increasingly common for older adults, yet little is known about the extent to which they are being used as the Centers for Medicare and Medicaid Services (CMS) originally intended for unscheduled or acute problems and whether different types of services are reflected in curre...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16441

    authors: Powell WR,Kaiksow FA,Kind AJH,Sheehy AM

    更新日期:2020-07-01 00:00:00

  • Functional and cognitive consequences of silent stroke discovered using brain magnetic resonance imaging in an elderly population.

    abstract:OBJECTIVES:To evaluate the prevalence of silent stroke and its associated consequences on physical, cognitive, and emotional functioning in an elderly population. DESIGN:Population-based cross-sectional survey. SETTING:The Memory and Morbidity in Augsburg Elderly project in the Augsburg region of southern Germany. P...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.2004.52300.x

    authors: Schmidt WP,Roesler A,Kretzschmar K,Ladwig KH,Junker R,Berger K

    更新日期:2004-07-01 00:00:00

  • The effect of volume expansion on atrial natriuretic peptide and cyclic guanosine monophosphate levels in young and aged subjects.

    abstract::The relationship between atrial natriuretic peptide (ANP) and age was studied. In elderly subjects (65 to 84 years) higher basal ANP levels were found as compared with those found in young subjects (21 to 23 years). Volume loading (750 mL 0.9% NaCl in 60 minutes) increased ANP levels only in the aged group, and plasma...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1990.tb01502.x

    authors: Tan AC,Hoefnagels WH,Swinkels LM,Kloppenborg PW,Benraad TJ

    更新日期:1990-11-01 00:00:00

  • Association between serum cholesterol and noncardiovascular mortality in older age.

    abstract:OBJECTIVES:To clarify the association between cholesterol and noncardiovascular mortality and to evaluate how this association varies across age groups. DESIGN:Prospective population-based cohort study. SETTING:Rotterdam, the Netherlands. PARTICIPANTS:Adults aged 55 to 99 (N = 5,750). MEASUREMENTS:Participants were...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2011.03593.x

    authors: Newson RS,Felix JF,Heeringa J,Hofman A,Witteman JC,Tiemeier H

    更新日期:2011-10-01 00:00:00

  • Simple Tests Compare Well with a Hand-held Audiometer for Hearing Loss Screening in Primary Care.

    abstract:OBJECTIVES:To compare hearing loss screening results of four simple tests with those of hand-held audiometry. DESIGN:Cross-sectional study of individuals screened during intake for physicals and other routine procedures. SETTING:Two primary care clinics in the San Francisco Bay area. PARTICIPANTS:Older adults not we...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/jgs.15044

    authors: Strawbridge WJ,Wallhagen MI

    更新日期:2017-10-01 00:00:00

  • Frequent falling and motor vehicle collision involvement of older drivers.

    abstract:OBJECTIVES:To examine the relationship between frequent falls in older drivers and motor vehicle collision (MVC) involvement. DESIGN:Cross-sectional. SETTING:North central Alabama. PARTICIPANTS:Population-based sample of 2,000 licensed drivers aged 70 and older. MEASUREMENTS:Self-reported history of falling two or ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12594

    authors: Huisingh C,McGwin G Jr,Orman KA,Owsley C

    更新日期:2014-01-01 00:00:00

  • Clinician Effectiveness in Assessing Fitness to Drive of Medically At-Risk Older Adults.

    abstract:OBJECTIVES:To model the relative contributions of driver data and clinical judgments to clinical ratings of driver capability for a state licensing authority and to compare ratings with on-road test results. DESIGN:Retrospective, logistic regression. SETTING:Missouri Driver License Bureau. PARTICIPANTS:Adults aged 6...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.14022

    authors: Meuser TM,Berg-Weger M,Carr DB,Shi S,Stewart D

    更新日期:2016-04-01 00:00:00

  • Associations between serum 25-hydroxyvitamin D concentrations and multiple health conditions, physical performance measures, disability, and all-cause mortality: the Concord Health and Ageing in Men Project.

    abstract:OBJECTIVES:To explore associations between serum 25-hydroxyvitamin D (25(OH)D) levels and a wide range of health conditions, physical performance measures, disability, and mortality in a large epidemiological study to identify an optimum range for 25(OH)D concentrations. DESIGN:Cross-sectional study, with additional p...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12693

    authors: Hirani V,Cumming RG,Naganathan V,Blyth F,Le Couteur DG,Handelsman DJ,Waite LM,Seibel MJ

    更新日期:2014-03-01 00:00:00

  • Temperature lowering after iced water. Enhanced effects in the elderly.

    abstract::Oral temperature has long been used as a basis for clinical decisions. The ingestion of cold liquids such as iced water, which are frequently found at patients' bedsides or in clinic waiting areas, has been believed to potentially lower oral temperature readings. The degree and duration of this effect, however, has no...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1986.tb04245.x

    authors: Sugarek NJ

    更新日期:1986-07-01 00:00:00

  • Alcohol as a risk factor for fall injury events among elderly persons living in the community.

    abstract:OBJECTIVE:To determine if alcohol use is a risk factor for fall injury events among community-dwelling older persons. DESIGN:Case-control study. SETTING:South Miami Beach, Florida. PARTICIPANTS:320 persons 65 or older who sought treatment at six area hospitals for injuries resulting from falls; 609 controls, matched...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1992.tb01955.x

    authors: Nelson DE,Sattin RW,Langlois JA,DeVito CA,Stevens JA

    更新日期:1992-07-01 00:00:00

  • Hospital protocols for the inpatient care of older adults: results from a statewide survey.

    abstract:OBJECTIVES:To assess the prevalence of protocols or guidelines for selected domains of inpatient care for older adults; to explore associations between hospital characteristics and adoption of these guidelines or protocols. DESIGN:Telephone- and Web-based questionnaire. SETTING:General acute care hospitals in Pennsyl...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.2010.03056.x

    authors: Neuman MD,Speck RM,Karlawish JH,Schwartz JS,Shea JA

    更新日期:2010-10-01 00:00:00

  • Length of stay and therapeutic intervention allow estimation of in-hospital resource use independent of site and inflation.

    abstract:OBJECTIVES:To develop and evaluate a model to estimate inpatient resource utilization for seriously ill patients using periodic medical record abstraction and hospital length of stay. DESIGN:A prospective cohort study of prognoses and preferences and outcomes of seriously ill hospitalized adults. The predictive model ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2000.tb03127.x

    authors: Alzola C,Lynn J,Wagner D,Wu AW

    更新日期:2000-05-01 00:00:00

  • Apixaban Concentrations with Lower than Recommended Dosing in Older Adults with Atrial Fibrillation.

    abstract:OBJECTIVES:Lower than recommended doses of direct-acting oral anticoagulants are often prescribed to older adults with nonvalvular atrial fibrillation (NVAF). Our goal was to determine the consequences of lower than recommended dosing on plasma apixaban concentrations during the clinical care of older adults with NVAF....

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15982

    authors: Sukumar S,Gulilat M,Linton B,Gryn SE,Dresser GK,Alfonsi JE,Schwarz UI,Kim RB,Schwartz JB

    更新日期:2019-09-01 00:00:00

  • Family perceptions of end-of-life care for long-term care residents with dementia: differences between the United States and the Netherlands.

    abstract:OBJECTIVES:To examine cross-national care and outcomes related to end-of-life experiences. DESIGN:Postdeath interviews and self-administered questionnaires completed with family caregivers of residents with dementia who died in long-term care settings or shortly after transfer. SETTING:One hundred eighty-three nursin...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2011.03816.x

    authors: Cohen LW,van der Steen JT,Reed D,Hodgkinson JC,van Soest-Poortvliet MC,Sloane PD,Zimmerman S

    更新日期:2012-02-01 00:00:00

  • Effectiveness of multidimensional exercises for the treatment of stress urinary incontinence in elderly community-dwelling Japanese women: a randomized, controlled, crossover trial.

    abstract:OBJECTIVES:To evaluate the effectiveness of pelvic floor muscle (PFM) and fitness exercises in reducing urine leakage in elderly women with stress urinary incontinence (UI). DESIGN:Randomized, crossover, follow-up trial. SETTING:Urban community in Japan. PARTICIPANTS:Seventy women aged 70 and older who reported urin...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1532-5415.2007.01447.x

    authors: Kim H,Suzuki T,Yoshida Y,Yoshida H

    更新日期:2007-12-01 00:00:00

  • Asymptomatic bacteriuria, urinary antibody, and survival in the institutionalized elderly.

    abstract:OBJECTIVE:To compare clinical status of elderly institutionalized subjects with asymptomatic bacteriuria and normal urinary antibody to those with elevated urinary antibody to the major outer membrane of Escherichia coli. DESIGN:Retrospective review. SETTING:Long term facility for the elderly. PARTICIPANTS:Convenien...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1992.tb02112.x

    authors: Nicolle LE,Brunka J,McIntyre M,Murray D,Harding GK

    更新日期:1992-06-01 00:00:00

  • Leveraging Home-Delivered Meal Programs to Address Unmet Needs for At-Risk Older Adults: Preliminary Data.

    abstract:BACKGROUND:Home-delivered meal programs serve a predominantly homebound older adult population, characterized by multiple chronic conditions, functional limitations, and a variety of complex care needs, both medical and social. DESIGN:A pilot study was designed to test the feasibility of leveraging routine meal-delive...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16013

    authors: Morris AM,Engelberg JK,Schmitthenner B,Dosa D,Gadbois E,Shield RR,Akobundu U,Thomas KS

    更新日期:2019-09-01 00:00:00

  • Is there an association between metabolic syndrome and cognitive function in very old adults? The Newcastle 85+ Study.

    abstract:OBJECTIVES:To determine, using data from the Newcastle 85+ Study, whether there is an association between modern diagnostic criteria for metabolic syndrome (MetS) and cognitive function in very old adults (≥85) and whether inflammation, physical activity, or diabetes mellitus status affects this association. DESIGN:Lo...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.13358

    authors: Harrison SL,Stephan BC,Siervo M,Granic A,Davies K,Wesnes KA,Kirkwood TB,Robinson L,Jagger C

    更新日期:2015-04-01 00:00:00

  • Subclinical hypothyroidism in a biethnic, urban community.

    abstract:OBJECTIVES:To evaluate the association between hypothyroidism, and the health status of older Hispanic and non-Hispanic white (NHW) men and women. To accomplish this, we determined the prevalences of the treated and untreated conditions and examined the associations between an elevated serum thyroid stimulating hormone...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1999.tb01593.x

    authors: Lindeman RD,Schade DS,LaRue A,Romero LJ,Liang HC,Baumgartner RN,Koehler KM,Garry PJ

    更新日期:1999-06-01 00:00:00

  • Effect of aging on serum albumin.

    abstract::Some studies have shown a negative association between age and serum albumin. Several of these studies included older people with known disease. Disease may reduce albumin in any age group. Other studies have shown no association between age and albumin. To investigate the association of age and albumin, albumin level...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1989.tb06917.x

    authors: Cooper JK,Gardner C

    更新日期:1989-11-01 00:00:00

  • Fundic atrophic gastritis in an elderly population. Effect on hemoglobin and several serum nutritional indicators.

    abstract::The ratio of pepsinogen I to pepsinogen II in the circulation decreases progressively with increasing severity of atrophic gastritis of the fundic gland mucosa. Fasting blood was obtained from 359 free-living and institutionalized elderly people (age range, 60 to 99 years). A pepsinogen I/pepsinogen II ratio less than...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1986.tb03985.x

    authors: Krasinski SD,Russell RM,Samloff IM,Jacob RA,Dallal GE,McGandy RB,Hartz SC

    更新日期:1986-11-01 00:00:00

  • Effect of light treatment on sleep and circadian rhythms in demented nursing home patients.

    abstract:OBJECTIVES:To determine whether fragmented sleep in nursing home patients would improve with increased exposure to bright light. DESIGN:Randomized controlled trial. SETTING:Two San Diego-area nursing homes. PARTICIPANTS:Seventy-seven (58 women, 19 men) nursing home residents participated. Mean age +/- standard devia...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1046/j.1532-5415.2002.50060.x

    authors: Ancoli-Israel S,Martin JL,Kripke DF,Marler M,Klauber MR

    更新日期:2002-02-01 00:00:00

  • The prognostic significance of subsyndromal delirium in elderly medical inpatients.

    abstract:OBJECTIVES:To determine the prognostic significance of subsyndromal delirium (SSD) presentations. DESIGN:Cohort study. SETTING:University-affiliated primary acute care hospital. PARTICIPANTS:One hundred sixty-four elderly medical inpatients who did not meet Diagnostic and Statistical Manual of Mental Disorders, Thir...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1365-2389.2003.51255.x

    authors: Cole M,McCusker J,Dendukuri N,Han L

    更新日期:2003-06-01 00:00:00

  • Opiniones: end-of-life care preferences and planning of older Latinos.

    abstract:OBJECTIVES:To measure end-of-life (EOL) care preferences and advance care planning (ACP) in older Latinos and to examine the relationship between culture-based attitudes and extent of ACP. DESIGN:Cross-sectional interview. SETTING:Twenty-two senior centers in greater Los Angeles. PARTICIPANTS:One hundred forty-seven...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2010.02853.x

    authors: Kelley AS,Wenger NS,Sarkisian CA

    更新日期:2010-06-01 00:00:00

  • Description of the National Pressure Ulcer Long-Term Care Study.

    abstract:OBJECTIVES:To describe and provide baseline data from The National Pressure Ulcer Long-Term Care Study (NPULS). DESIGN:Retrospective cohort study of detailed resident characteristics, treatments, and outcomes using convenience sampling. SETTING:One hundred nine long-term care facilities throughout the United States. ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1532-5415.2002.50510.x

    authors: Horn SD,Bender SA,Bergstrom N,Cook AS,Ferguson ML,Rimmasch HL,Sharkey SS,Smout RJ,Taler GA,Voss AC

    更新日期:2002-11-01 00:00:00

  • Freedom, dependency, and the care of the very old.

    abstract::Difficulties exist in making treatment decisions for the very old and dependent patient. In the years to come, these difficulties will increase. It is argued that such persons should not be abandoned to their "rights" as autonomous persons; yet quality of life judgments should also be avoided except in limited circums...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1984.tb00892.x

    authors: Thomasma DC

    更新日期:1984-12-01 00:00:00