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Geospatial cluster analyses of pneumonia-associated hospitalisations among adults in New York City, 2010-2014.
- Source :
- Epidemiology & Infection; Jan2019, Vol. 147, pN.PAG-N.PAG, 10p
- Publication Year :
- 2019
-
Abstract
- Pneumonia is a leading cause of death in New York City (NYC). We identified spatial clusters of pneumonia-associated hospitalisation for persons residing in NYC, aged ⩾18 years during 2010-2014. We detected pneumonia-associated hospitalisations using an all-payer inpatient dataset. Using geostatistical semivariogram modelling, local Moran's I cluster analyses and χ2 tests, we characterised differences between 'hot spots' and 'cold spots' for pneumonia-associated hospitalisations. During 2010-2014, there were 141 730 pneumonia-associated hospitalisations across 188 NYC neighbourhoods, of which 43.5% (N = 61 712) were sub-classified as severe. Hot spots of pneumonia-associated hospitalisation spanned 26 neighbourhoods in the Bronx, Manhattan and Staten Island, whereas cold spots were found in lower Manhattan and northeastern Queens. We identified hot spots of severe pneumonia-associated hospitalisation in the northern Bronx and the northern tip of Staten Island. For severe pneumonia-associated hospitalisations, hot-spot patients were of lower mean age and a greater proportion identified as non-Hispanic Black compared with cold spot patients; additionally, hot-spot patients had a longer hospital stay and a greater proportion experienced in-hospital death compared with cold-spot patients. Pneumonia prevention efforts within NYC should consider examining the reasons for higher rates in hot-spot neighbourhoods, and focus interventions towards the Bronx, northern Manhattan and Staten Island. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09502688
- Volume :
- 147
- Database :
- Complementary Index
- Journal :
- Epidemiology & Infection
- Publication Type :
- Academic Journal
- Accession number :
- 133974190
- Full Text :
- https://doi.org/10.1017/S0950268818003060