Glycaemic control, antidiabetic medications and influenza vaccination coverage among patients with diabetes in Udine, Italy
作者机构：Igiene ed Epidemiologia ClinicaAzienda Sanitaria Universitaria Integrata di UdineUdineItaly
出 版 物：《Family Medicine and Community Health》 (家庭医学与社区卫生（英文）)
年 卷 期：2019年第7卷第3期
页 面：61-67页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：vaccination patients influenza
摘 要：Objective The objectives of this study were to estimate influenza vaccination coverage among patients with diabetes mellitus in an Italian 250000-inhabitant area in the 2017-2018 season and to assess whether glycaemic control and pharmacological treatment were associated with the likelihood of being *** In this cross-sectional study,we analysed anonymous health administrative databases,linked with each other at the individual patient level through a stochastic key:diabetes mellitus registry,vaccinations,drug prescriptions and laboratory *** The study was conducted in the catchment area of the University Hospital of Udine(‘the Udine area’),a 250000-inhabitant area in the northeast of *** The study included all subjects included in the regional registry of patients with diabetes mellitus,living in the Udine area as of 1 October *** outcome measures Vaccination coverage in the 2017-2018 influenza season was *** association between patients’characteristics and the likelihood of being vaccinated was assessed through multivariate log binomial *** 53.0%of 15900 patients with diabetes living in the area were *** increased with age,approaching 75%at≥85 *** lacking recent glycated haemoglobin testing were less likely to be vaccinated(43.4%vaccination coverage),as were those not treated pharmacologically(44.4%vaccination coverage).Patients treated with both insulin,metformin and other antidiabetic medications were more likely to be vaccinated than those treated with metformin alone(58.1%vaccination coverage;adjusted relative risk=1.07,95%CI 1.01 to 1.14).Conclusion Influenza vaccination coverage was suboptimal in this Italian population of patients with *** to improve diabetes management could in turn positively affect influenza coverage.
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