Geospatial cluster analyses of pneumonia-associated hospitalisations among adults in New York City, 2010–2014

Details

• Alternative Title:
  Epidemiol Infect
• Personal Author:
  Kache, P. A. ; Julien, T. ; Corrado, R. E. ; Vora, N. M. ; Daskalakis, D. C. ; Varma, J. K. ; Lucero, D. E.
• Description:
  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.
• Subjects:
  Hospitalisations New York City Original Paper Pneumonia
• Source:
  Epidemiol Infect. 2018; 147
• Pubmed ID:
  30451133
• Pubmed Central ID:
  PMC6518844
• Document Type:
  Journal Article
• Volume:
  147
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:6d2422306cb5f0adc3c00a5a421648ce340ff6fb462a8174d91da1275c91b1cb
• Download URL:
  https://stacks.cdc.gov/view/cdc/82098/cdc_82098_DS1.pdf
• File Type:
  [PDF - 546.60 KB ]