Article de revue
Identifying factors predicting immunization delay for children followed in an urban primary care network using an electronic health record.
OBJECTIVE: An opportunity exists to use increasingly prevalent electronic health records to efficiently gather immunization- clinical- and demographic data to assess and subsequently reduce barriers to immunization. The objective of this study was to use data entered at the point of care within an electronic health record to identify factors that predispose children in an inner-city population to immunization delay. METHODS: Retrospective cohort data from an electronic health record were used to evaluate the association between demographic- clinical- and immunization variables on immunization delay at 24 months. Patients 2 to 5 years old as of May 31- 2003- with an office visit between May 31- 2002- and May 31- 2003- were selected (N = 5464). Univariate and multivariable models were developed to predict vaccination delay at 24 months per the Advisory Committee on Immunization Practices guidelines. RESULTS: Overall up-to-date immunization rates at 3- 7- 13- and 24 months were 75%- 45%- 82%- and 71%. Multivaria
Année de publication
2006
Journal
Pediatrics
Volume
6
Type
Article de revue
