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Immunization status in chronic obstructive pulmonary disease: A multicenter study from Turkey.
Ann Thorac Med. 2019 Jan-Mar; 14(1):75-82.AT

Abstract

OBJECTIVE

The purpose of this study is to detect the prevalence and the factors associated with influenza and pneumococcal vaccination and outcomes of vaccination during 2013-2014 season in patients with chronic obstructive pulmonary disease (COPD) in Turkey.

METHODS

This was a multicenter retrospective cohort study performed in 53 different centers in Turkey.

RESULTS

During the study period, 4968 patients were included. COPD was staged as GOLD 1-2-3-4 in 9.0%, 42.8%, 35.0%, and 13.2% of the patients, respectively. Influenza vaccination rate in the previous year was 37.9%; and pneumococcus vaccination rate, at least once during in a life time, was 13.3%. Patients with older age, higher level of education, more severe COPD, and comorbidities, ex-smokers, and patients residing in urban areas had higher rates of influenza vaccination. Multivariate logistic regression analysis showed that advanced age, higher education levels, presence of comorbidities, higher COPD stages, and exacerbation rates were associated with both influenza and pneumococcal vaccination. The number of annual physician/outpatient visits and hospitalizations due to COPD exacerbation was 2.73 ± 2.85 and 0.92 ± 1.58 per year, respectively. Patients with older age, lower education levels, more severe COPD, comorbid diseases, and lower body mass index and patients who are male and are residing in rural areas and vaccinated for influenza had significantly higher rates of COPD exacerbation.

CONCLUSIONS

The rates of influenza and pneumococcal vaccination in COPD patients were quite low, and the number of annual physician/outpatient visits and hospitalizations due to COPD exacerbation was high in Turkey. Advanced age, higher education levels, comorbidities, and higher COPD stages were associated with both influenza and pneumococcal vaccination.

Authors+Show Affiliations

Department of Chest Diseases, School of Medicine, Karadeniz Technical University, Trabzon, Turkey.Department of Chest Diseases, School of Medicine, Karadeniz Technical University, Trabzon, Turkey.Chest Disease Clinic, Pulmonary Diseases Hospital, Balikesir, Turkey.Department of Pulmonary Diseases, Dr. Suat Seren Pulmonary Diseases and Thoracic Surgery Education and Research Hospital, Izmir, Turkey.Department of Pulmonary Diseases, Sureyyapasa Pulmonary Diseases and Thoracic Surgery Education and Research Hospital, Istanbul, Turkey.Department of Chest Diseases, School of Medicine, Bulent Ecevit University, Zonguldak, Turkey.Department of Chest Diseases, School of Medicine, Gaziosmanpasa University, Tokat, Turkey.Department of Pulmonary Diseases, Dr. Suat Seren Pulmonary Diseases and Thoracic Surgery Education and Research Hospital, Izmir, Turkey.Department of Chest Diseases, School of Medicine, Yuzuncu Yil University, Van, Turkey.Chest Disease Clinic, Tosya State Hospital, Kastamonu, Turkey.Department of Chest Diseases, School of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.Department of Chest Diseases, School of Medicine, Kırıkkale University, Kırıkkale, Turkey.Department of Pulmonary Diseases, Diskapi Yildirim Beyazid Education and Research Hospital, Ankara, Turkey.Department of Chest Diseases, School of Medicine, Hacettepe University, Ankara, Turkey.Department of Pulmonary Diseases, Konya Education and Research Hospital, Konya, Turkey.Chest Disease Clinic, Afyon State Hospital, Afyon, Turkey.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30745939

Citation

Ozlu, Tevfik, et al. "Immunization Status in Chronic Obstructive Pulmonary Disease: a Multicenter Study From Turkey." Annals of Thoracic Medicine, vol. 14, no. 1, 2019, pp. 75-82.
Ozlu T, Bulbul Y, Aydin D, et al. Immunization status in chronic obstructive pulmonary disease: A multicenter study from Turkey. Annals of thoracic medicine. 2019;14(1):75-82.
Ozlu, T., Bulbul, Y., Aydin, D., Tatar, D., Kuyucu, T., Erboy, F., Koseoglu, H. I., Anar, C., Sunnetcioglu, A., Gulhan, P. Y., Sahin, U., Ekici, A., Duru, S., Ulasli, S. S., Kurtipek, E., & Gunay, S. (2019). Immunization status in chronic obstructive pulmonary disease: A multicenter study from Turkey. Annals of Thoracic Medicine, 14(1), 75-82. https://doi.org/10.4103/atm.ATM_145_18
Ozlu T, et al. Immunization Status in Chronic Obstructive Pulmonary Disease: a Multicenter Study From Turkey. Annals of thoracic medicine. 2019 Jan-Mar;14(1):75-82. PubMed PMID: 30745939.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Immunization status in chronic obstructive pulmonary disease: A multicenter study from Turkey. AU - Ozlu,Tevfik, AU - Bulbul,Yilmaz, AU - Aydin,Derya, AU - Tatar,Dursun, AU - Kuyucu,Tulin, AU - Erboy,Fatma, AU - Koseoglu,Handan Inonu, AU - Anar,Ceyda, AU - Sunnetcioglu,Aysel, AU - Gulhan,Pinar Yildiz, AU - Sahin,Unal, AU - Ekici,Aydanur, AU - Duru,Serap, AU - Ulasli,Sevinc Sarinc, AU - Kurtipek,Ercan, AU - Gunay,Sibel, AU - ,, PY - 2019/2/13/entrez PY - 2019/2/13/pubmed PY - 2019/2/13/medline KW - Chronic obstructive pulmonary disease KW - chronic obstructive pulmonary disease exacerbation KW - influenza vaccine KW - pneumococcal vaccine SP - 75 EP - 82 JF - Annals of thoracic medicine VL - 14 IS - 1 N2 - OBJECTIVE: The purpose of this study is to detect the prevalence and the factors associated with influenza and pneumococcal vaccination and outcomes of vaccination during 2013-2014 season in patients with chronic obstructive pulmonary disease (COPD) in Turkey. METHODS: This was a multicenter retrospective cohort study performed in 53 different centers in Turkey. RESULTS: During the study period, 4968 patients were included. COPD was staged as GOLD 1-2-3-4 in 9.0%, 42.8%, 35.0%, and 13.2% of the patients, respectively. Influenza vaccination rate in the previous year was 37.9%; and pneumococcus vaccination rate, at least once during in a life time, was 13.3%. Patients with older age, higher level of education, more severe COPD, and comorbidities, ex-smokers, and patients residing in urban areas had higher rates of influenza vaccination. Multivariate logistic regression analysis showed that advanced age, higher education levels, presence of comorbidities, higher COPD stages, and exacerbation rates were associated with both influenza and pneumococcal vaccination. The number of annual physician/outpatient visits and hospitalizations due to COPD exacerbation was 2.73 ± 2.85 and 0.92 ± 1.58 per year, respectively. Patients with older age, lower education levels, more severe COPD, comorbid diseases, and lower body mass index and patients who are male and are residing in rural areas and vaccinated for influenza had significantly higher rates of COPD exacerbation. CONCLUSIONS: The rates of influenza and pneumococcal vaccination in COPD patients were quite low, and the number of annual physician/outpatient visits and hospitalizations due to COPD exacerbation was high in Turkey. Advanced age, higher education levels, comorbidities, and higher COPD stages were associated with both influenza and pneumococcal vaccination. SN - 1817-1737 UR - https://www.unboundmedicine.com/medline/citation/30745939/Immunization_status_in_chronic_obstructive_pulmonary_disease:_A_multicenter_study_from_Turkey_ L2 - http://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2019;volume=14;issue=1;spage=75;epage=82;aulast=Ozlu DB - PRIME DP - Unbound Medicine ER -
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