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dc.contributor.authorKeijzers, Gerben
dc.contributor.authorSweeny, Amy
dc.contributor.authorCrilly, Julia
dc.contributor.authorGood, Norm
dc.contributor.authorCameron, Cate M
dc.contributor.authorMihala, Gabor
dc.contributor.authorThone, Jae
dc.contributor.authorScuffham, Paul A
dc.date.accessioned2019-07-05T12:33:58Z
dc.date.available2019-07-05T12:33:58Z
dc.date.issued2019
dc.identifier.issn1034-4810
dc.identifier.doi10.1111/jpc.14288
dc.identifier.urihttp://hdl.handle.net/10072/382395
dc.description.abstractAim To describe the relationship between emergency department (ED) diagnosis of infectious disease and immunisation status in children ≤5 years. We also aimed to demonstrate feasibility of proof‐of‐concept linkage between disparate databases. Methods Data from a cohort of 3404 children born in Southeast Queensland/Far North New South Wales between 2006 and 2011 were linked to Australian Childhood Immunisation Registry data and Emergency Department Information System data for presentations between 2006 and 2014. Immunisation status was assigned using the 2009 National Immunisation Program schedule. Results Of 1490 children (79% of those consented) with data on immunisation status, 87.2 and 84.6% were fully immunised by 12 and 24 months, respectively. Adding partially immunised children increased this to 93.2 and 91.4% at 12 and 24 months, respectively. Nearly two‐thirds of all children made at least one ED presentation. Children presenting to ED with an infectious disease did not differ in immunisation status compared to children with other (non‐infectious disease type) presentations but were younger, more likely to live with other children and had a longer ED stay and higher admission rate. Respiratory syncytial virus (RSV) was more frequently diagnosed in unimmunised children. Conclusions In an existing birth cohort, immunisation rates were lower than the national average. RSV was more prevalent in unimmunised children presenting to ED, but immunisation status was not significantly associated with other infectious disease presentations. Linkage between national immunisation data and Australian ED data is feasible and has the potential to identify previously unrecognised factors related to child immunisation status and health‐care utilisation.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley Online
dc.publisher.placeUnited Kingdom
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto9
dc.relation.ispartofjournalJournal of Paediatrics and Child Health
dc.subject.fieldofresearchPaediatrics
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchReproductive medicine not elsewhere classified
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode3213
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode321599
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.keywordsLongitudinal study
dc.subject.keywordsInfectious diseases
dc.subject.keywordsImmunisation
dc.subject.keywordsEmergency medicine
dc.subject.keywordsBirth cohort
dc.titleImmunisation status of children presenting to the emergency department: Linkage of a longitudinal birth cohort with national immunisation data
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Medicine
gro.hasfulltextNo Full Text
gro.griffith.authorCrilly, Julia
gro.griffith.authorScuffham, Paul A.


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