Bacterial pneumonia hospitalization and pneumonia inpatient mortality in Texas, 1999-2007

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Title: Bacterial pneumonia hospitalization and pneumonia inpatient mortality in Texas, 1999-2007
Author: Chuan Hong
Abstract: Bacterial pneumonia has a disproportionate impact on the elderly . It is considered as an ambulatory care -sensitive condition by the Agency for Healthcare and Research (AHRQ ) , for which good outpatient care can potentially prevent the need for hospitalization or for which early intervention can prevent complications or more severe disease that lead to death . This project evaluated the trends in bacterial Pneumonia hospitalization and pneumonia inpatient mortality rates of older Texans during 1999 -2007 , and identifies the associated individual and contextual factors . \r \nThe data were from the Texas Hospital Discharge data during 1999 -2007 , linked with US Census data and Area Resource File . Observed and adjusted rates were calculated for Texas counties . Poisson regression and logistic regression models were used to evaluate the individual and contextual factors associated with bacterial pneumonia hospitalization and pneumonia inpatient mortality rates , respectively . \r \nThe study found that both bacterial pneumonia hospitalizations and pneumonia inpatient mortality rates were decreasing during 1999 -2007 . Population aged 75 years or above and Hispanics had the highest hospitalization and inpatient mortality rates . Increasing percent of Hispanics at the county -level was associated with a significant decrease of hospitalization rate and inpatient mortality rate . More number of non -Federal MDs per capita was associated with lower hospitalization rate and inpatient mortality rate . More hospital beds was associated with lower pneumonia inpatient mortality rates . \r \nThis study suggests interventions at county -level have great potential to improve the quality of pneumonia preventive and inpatient care for older population . \r \n
URI: http : / /hdl .handle .net /2152 .3 /58
Date: 2010-05-01

Citation

Bacterial pneumonia hospitalization and pneumonia inpatient mortality in Texas, 1999-2007. The University of Texas Medical Branch. Available electronically from http : / /hdl .handle .net /2152 .3 /58 .

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