Vaccination Coverage Amongst Children/Young People Attending the PED

NCT ID: NCT04485624

Last Updated: 2021-12-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

2693 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-01-24

Study Completion Date

2021-11-30

Brief Summary

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In the United Kingdom (UK), most childhood vaccinations are given in the community, although uptake has decreased in recent years. A Paediatric Emergency Department (PED) attendance offers an opportunity to check the vaccination status of children and young people (CYP) and all parents/carers should be asked about this routinely. Those not up-to-date with vaccinations could then be signposted to existing services or perhaps offered a vaccine in the PED.

CYP attending the PED may also have lower vaccination coverage than their peers, so may benefit even more from interventions to increase uptake. However, recall by parents/carers is not always sufficiently accurate to identify those who have not yet received all their age-appropriate vaccinations. The most complete record of an individual's vaccination history is held within their primary care records. However, these records are often in a separate computer system that is inaccessible from the hospital's main computer system, although some information (including vaccination) may be accessed from within the hospital via a third system.

This study aims to see if CYP attending the PED are under-vaccinated compared to their peers and assess the accuracy of parent/carer recall. The results of this study will then be used to inform recommendations for developing better ways to access accurate vaccination data during a PED consultation. If such a system existed, under-vaccinated children could be identified routinely during an attendance, and an intervention offered if appropriate. This would be particularly useful if there was an outbreak of a vaccine-preventable disease such measles.

All CYP (\< 16 years old) attending a PED in a district general hospital in Manchester will be invited to participate. CYP/their parent/carer will be asked to provide consent for their vaccination records to be accessed as well as being asked if the child/young person is up-to-date with all their vaccinations. Approximately 1000 participants will be enrolled.

Detailed Description

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Conditions

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Vaccination/Immunisation Status

Keywords

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Vaccination Immunisation Opportunistic Child Young person Paediatric Emergency Department

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Attendees at Paediatric Emergency Department 1 (PED1)

These participants will be recruited from the children and young people (under the age of 16) attending the PED of a large district general hospital.

There was going to be a second group recruited but COVID meant that the site was not able to support non-COVID studies by the time the necessary approvals were in place.

No intervention

Intervention Type OTHER

Observational study

Interventions

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No intervention

Observational study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* attending the study site PED; under the age of 16 at the time of attendance; able to give consent or accompanied by someone able to give consent

Exclusion Criteria

* life threatening illness or injury
Minimum Eligible Age

0 Years

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Pennine Acute Hospitals NHS Trust

OTHER

Sponsor Role collaborator

Lancaster University

OTHER

Sponsor Role lead

Responsible Party

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Rachel Isba

Professor of Medicine and Consultant in Paediatric Public Health Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Paediatric Emergency Department, North Manchester General Hospital

Manchester, Greater Manchester, United Kingdom

Site Status

Countries

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United Kingdom

References

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Isba R, Brennan L, Egboko F, Edge R, Davies N, Knight J. Unmet vaccination need among children under the age of five attending the paediatric emergency department: a cross-sectional study in a large UK district general hospital. BMJ Open. 2023 Jun 26;13(6):e072053. doi: 10.1136/bmjopen-2023-072053.

Reference Type DERIVED
PMID: 37369415 (View on PubMed)

Other Identifiers

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IRAS278815

Identifier Type: -

Identifier Source: org_study_id