Annual influenza vaccination reduces total hospitalization in patients with chronic hepatitis B virus infection : A population-based analysis

Copyright © 2015 Elsevier Ltd. All rights reserved..

BACKGROUND: This study evaluated hospitalization and mortality in patients with chronic hepatitis B virus infection (HBV (+)) and matched comparison patients after stratifying the patients according to annual influenza vaccination (Vaccine (+)).

METHODS: Data from Taiwan's National Health Insurance program from 2000 to 2009 were used to identify HBV(+)/vaccine(+) (n=4434), HBV(+)/Vaccine(-) (n=3646), HBV(-)/Vaccine(+) (n=8868), and HBV(-)/Vaccine(-) (n=8868) cohorts. The risk of pneumonia/influenza, respiratory failure, intensive care, hospitalization, and mortality in the four cohorts was evaluated.

RESULTS: The total hospitalization rate was significantly lower in patients with chronic HBV infection who received an annual influenza vaccination than in chronic HBV-infected patients who did not receive an influenza vaccination (16.29 vs. 24.02 per 100 person-years), contributing to an adjusted hazard ratio (HR) of 0.56 (95% confidence interval (CI)=0.50-0.62). The HBV(+)/Vaccine(+) cohort also had lower risks than the HBV(+)/Vaccine(-) cohort for pneumonia and influenza (adjusted HR=0.79, 95% CI=0.67-0.92), intensive care unit admission (adjusted HR=0.33, 95% CI=0.25-0.43), and mortality (adjusted HR=0.19, 95% CI=0.15-0.24).

CONCLUSIONS: Our results suggest that annual influenza vaccination can reduce the risk of hospitalization and mortality in patients with chronic HBV infection.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:34

Enthalten in:

Vaccine - 34(2016), 1 vom: 02. Jan., Seite 120-7

Sprache:

Englisch

Beteiligte Personen:

Su, Fu-Hsiung [VerfasserIn]
Huang, Ya-Li [VerfasserIn]
Sung, Fung-Chang [VerfasserIn]
Su, Chien-Tien [VerfasserIn]
Hsu, Wen-Hsin [VerfasserIn]
Chang, Shih-Ni [VerfasserIn]
Yeh, Chih-Ching [VerfasserIn]

Links:

Volltext

Themen:

Hepatitis B virus
Influenza
Influenza Vaccines
Journal Article
Population-based study
Research Support, Non-U.S. Gov't
Vaccination

Anmerkungen:

Date Completed 14.11.2016

Date Revised 30.12.2016

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.vaccine.2015.10.129

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM255072961