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Utility of an immunization registry in a pediatric emergency department

James M Callahan1, David Reed, Victoria Meguid

  • 1Department of Emergency Medicine, State University of New York, Upstate Medical University, Syracuse, NY 13210, USA. callahaj@upstate.edu

Pediatric Emergency Care
|May 5, 2004
PubMed

Insights

Many children in a pediatric emergency department (PED) were enrolled in an immunization registry (IR), but most parents were unaware. A significant number of children were not up-to-date on immunizations, presenting an intervention opportunity.

Area of Science:

  • Pediatric Emergency Medicine
  • Public Health
  • Immunization Informatics

Background:

  • Immunization registries (IRs) aim to track vaccination status.
  • Pediatric emergency departments (PEDs) serve a diverse patient population, including those with incomplete vaccination records.

Purpose of the Study:

  • To determine the prevalence of participation in a regional immunization registry (IR) among patients in a university pediatric emergency department (PED).
  • To assess the rate of underimmunization within the IR population.
  • To evaluate the agreement between parental recall and documented immunization status.

Main Methods:

  • A convenience sample of parents of children under 11 years old presenting to the PED were surveyed.
  • Informed consent was obtained, and the Central New York (CNY) IR was accessed to check enrollment and immunization status.
  • Agreement between parental report and IR data was calculated.

Main Results:

  • 34% of patients presenting to the PED were enrolled in the IR.
  • Only 29% of parents were aware their child was enrolled in the IR.
  • While 96% of parents reported their child was up-to-date (UTD) on immunizations, only 61% were documented as such in the IR.

Conclusions:

  • A substantial proportion of patients in the PED are registered in the CNY IR.
  • Parental awareness of IR enrollment is low.
  • A significant gap exists between reported and documented immunization status, highlighting the PED as a critical venue for immunization interventions.
Abstract

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