Validity of self-reported influenza and pneumococcal vaccination status among a cohort of hospitalized elderly inpatients
作者： Susan A. Skull , Ross M. Andrews , Graham B. Byrnes , Heath A. Kelly , Terence M. Nolan
DOI: 10.1016/J.VACCINE.2007.04.015
关键词:
摘要: Use of self-reported vaccination status is commonplace in assessing coverage for public health programs and individuals, yet limited validity data exist. We compared self-report with provider records pneumococcal (23vPPV) influenza vaccine 4887 subjects aged ≥65 years from two Australian hospitals. Self-reported had high sensitivity (98%), positive predictive value (PPV) (88%) negative (NPV) (91%), but low specificity (56%). 23vPPV (previous 5 years) a 84%, 77%, PPV 85% NPV 76%. Clinicians can be reasonably confident status, this setting. For program evaluation, among inpatients overestimates true by about 10% versus 1% 23vPPV. Self-report remains imperfect whole-of-life immunisation registers preferable goal.
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