Turkiye Klinikleri Archives of Lung

.: ORIGINAL RESEARCH
More than a Vaccine. Effect of Protective Vaccines that Applicated to Geriatric Population, to the HospitalizationProfiles and Hospitalization Costs: Cross-Sectional Study
Bir Aşıdan Daha Fazlası. Geriatrik Popülasyona Uygulanan Koruyucu Aşıların Hastaneye Yatış Profillerine ve Hastanede Yatış Maliyetlerine Etkisi: Kesitsel Çalışma
Hayrettin GÖÇMENa , Gülçin BÖLÜKb , Gizem ARSLANc
aClinic of Chest Diseases, İnegöl State Hospital, Bursa, Türkiye
bClinic of Infectious Diseases and Clinical Microbiology, İnegöl State Hospital, Bursa, Türkiye
cClinic of Internal Medicine, İnegöl State Hospital, Bursa, Türkiye
Turkiye Klinikleri Arch Lung. 2023;22(2):35-41
doi: 10.5336/archlung.2023-98998
Article Language: EN
Full Text
ABSTRACT
 Objective: Influenza and pneumococcal infections, cause life-threatening conditions in geriatric population by physiological changes and comorbid diseases. In our study, the pneumococcal/influenza vaccination status of the geriatric population hospitalized with the diagnosis of respiratory infections and their effects to the prognostic and demographic factors of the patients and the costs of hospitalization, were investigated. Material and Methods: Sociodemographic clinical findings and pneumococcal/influenza vaccination status of patients hospitalized with the diagnosis of non coronavirus disease-2019 respiratory tract infections between 1st January and 31th December 2022, were analyzed retrospectively. Results: A total of 944 patients were evaluated in our study. We determinated that 75.5% of all patients were discharged and 24.6% of patients died. It was determined that 12.3% of the patients had both pneumococcal and influenza vaccines, 9.7% were vaccinated only with influenza and 56.9% were not vaccinated with any vaccine. Pneumococcal and/or influenza protected patients were found to have significantly lower mortality rates and hospitalization costs compared to patients without vaccine protection (p<0.001). It was observed that single influenza vaccine protection was more effective and protective than single pneumococcal vaccine protection. Conclusion: Influenza vaccine addition to the routine vaccination program might significantly reduces the financial burden on the hospital/state for geriatric patients.

Keywords: Pneumococcal vaccination; hospitalization; health care cost
ÖZET
 Amaç: İnfluenza ve pnömokokal enfeksiyonlar, fizyolojik değişiklikler ve eşlik eden hastalıklar ile geriatrik popülasyonda yaşamı tehdit eden durumlara neden olmaktadır. Çalışmamızda, solunum yolu enfeksiyonu tanısı ile hastaneye yatırılan geriatrik popülasyonun pnömokok/influenza aşılanma durumları, hastaların prognostik ve demografik faktörlerine ve yatış maliyetlerine etkileri araştırıldı. Gereç ve Yöntemler: 1 Ocak-31-Aralık 2022 tarihleri arasında koronavirüs hastalığı-2019 dışı solunum yolu enfeksiyonu tanısı ile yatırılan hastaların sosyodemografik özellikleri ile klinik bulguları ve pnömokok/influenza aşılama durumları retrospektif olarak incelendi. Bulgular: Çalışmamızda toplam 944 hasta değerlendirildi. Tüm hastaların %75,5?inin taburcu edildiği ve %24,6?sının eks olduğu belirlendi. Hastaların %12,3?ünün hem pnömokok hem de influenza aşısı yaptırdığı, %9,7?sinin sadece influenza ile aşılandığı ve %56,9?unun ise herhangi bir aşı ile aşılanmadığı tespit edildi. Pnömokok ve/veya influenza korumalı hastaların ölüm oranlarının ve hastanede yatış maliyetlerinin aşı koruması olmayan hastalara göre anlamlı olarak düşük olduğu saptandı (p<0,001). Tek influenza aşısı korumasının, tek pnömokok aşısına göre daha etkili ve koruyucu olduğu görüldü. Sonuç: Rutin aşılama programına grip aşısının eklenmesi, geriatrik hastalar için hastane/devlet üzerindeki mali yükü önemli ölçüde azaltabilir.

Anahtar Kelimeler: Pnömokok aşısı; hastaneye yatış; sağlık bakımı maliyeti
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