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. 2024 Jan 1;52(1):e21-e26.
doi: 10.1097/CCM.0000000000006090. Epub 2023 Oct 30.

Typology of ICU-Healthcare Providers Who Delayed or Declined COVID-19 Vaccination

Elie Azoulay  1 , Frédéric Pochard, Guillaume Dumas, Nancy Kentish-Barnes; FAMIREA Study Group
Affiliations

Typology of ICU-Healthcare Providers Who Delayed or Declined COVID-19 Vaccination

Elie Azoulay et al. Crit Care Med. .

Abstract

Objectives: To assess COVID-19 vaccination rates in ICU-healthcare providers (HCPs) in France and to identify the typology of those who delayed or declined vaccination.

Design: Cross-sectional study.

Setting: Twenty-one ICUs in France.

Subjects: Members of the nursing and medical staff and other allied professionals.

Interventions: None.

Measurements and main results: Six hundred ninety-six of the 950 respondents (73.3%) had undergone a full vaccination schedule. Other HCPs either declined vaccination ( n = 112) or delayed vaccination until it became mandatory ( n = 142). Factors independently associated with full vaccination were age older than 50 years (odds ratio, 0.25 [95% CI, 0.12-0.51]), more than 5 years of ICU experience (0.66 [0.47-0.93]), increasing working time during the surge (0.94 [0.88-1.00]), and spending time with the family (0.92 [0.85-0.99]). Conversely, being a nurse (1.94 [1.25-2.99]) or a nurse assistant (2.77 [1.62-4.73]), and feeling not supported by hospital and ICU directors (1.49 [1.01-2.20]) was independently associated with not being vaccinated.

Conclusions: These results are important to take into account to better implement vaccination strategies in HCPs for existing or future pandemics.

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Conflict of interest statement

Drs. Azoulay’s and Kentish-Barnes’s institution received funding from the French Ministry of Health. Dr. Azoulay received funding from Alexion, Sanofi, and Pfizer. The remaining authors have disclosed that they do not have any potential conflicts of interest.

References

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    1. Pilishvili T, Gierke R, Fleming-Dutra KE, et al.; Vaccine Effectiveness among Healthcare Personnel Study Team: Effectiveness of mRNA Covid-19 vaccine among US health care personnel. N Engl J Med. 2021; 385:e90
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    1. Pochard F, Azoulay E, Chevret S, et al.; French FAMIREA Group: Symptoms of anxiety and depression in family members of intensive care unit patients: Ethical hypothesis regarding decision-making capacity. Crit Care Med. 2001; 29:1893–1897
    1. Azoulay E, Pochard F, Kentish-Barnes N, et al.; FAMIREA Study Group: Risk of post-traumatic stress symptoms in family members of intensive care unit patients. Am J Respir Crit Care Med. 2005; 171:987–994

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