Influenza vaccination accuracy among adults: Self-report compared with electronic health record data

Details

• Alternative Title:
  Vaccine
• Personal Author:
  Daley, Matthew F. ; Reifler, Liza M. ; Shoup, Jo Ann ; Glanz, Jason M. ; Lewin, Bruno J. ; Klein, Nicola P. ; Kharbanda, Elyse O. ; McLean, Huong Q. ; Hambidge, Simon J. ; Nelson, Jennifer C. ; Naleway, Allison L. ; Weintraub, Eric S. ; McNeil, Michael M. ; Razzaghi, Hilda ; Singleton, James A.
• Description:
  Objective:
  
  To assess the validity of electronic health record (EHR)-based influenza vaccination data among adults in a multistate network.
  
  Methods:
  
  Following the 2018–2019 and 2019–2020 influenza seasons, surveys were conducted among a random sample of adults who did or did not appear influenza-vaccinated (per EHR data) during the influenza season. Participants were asked to report their influenza vaccination status; self-report was treated as the criterion standard. Results were combined across survey years.
  
  Results:
  
  Survey response rate was 44.7% (777 of 1740) for the 2018–2019 influenza season and 40.5% (505 of 1246) for the 2019–2020 influenza season. The sensitivity of EHR-based influenza vaccination data was 75.0% (95% confidence interval [CI] 68.1, 81.1), specificity 98.4% (95% CI 92.9, 99.9), and negative predictive value 73.9% (95% CI 68.0, 79.3).
  
  Conclusions:
  
  In a multistate research network across two recent influenza seasons, there was moderate concordance between EHR-based vaccination data and self-report.
  
  
• Subjects:
  Adult Electronic Health Records Humans Influenza, Human Influenza Vaccines Seasons Self Report Surveys And Questionnaires Vaccination
• Keywords:
  Accuracy Adults Electronic Health Records Influenza Vaccination Self-report
• Source:
  Vaccine. 42(11):2740-2746
• Pubmed ID:
  38531726
• Pubmed Central ID:
  PMC11238074
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  42
• Issue:
  11
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:985b6a48e93583ea496986bee9f01fe4dfdc500740b25a8ace87d81b1c9a1ef0
• Download URL:
  https://stacks.cdc.gov/view/cdc/158687/cdc_158687_DS1.pdf
• File Type:
  [PDF - 121.19 KB ]