Hospitalizations for tuberculosis in the United States in 2000 - Predictors of in-hospital mortality

Hospitalizations for tuberculosis in the United States in 2000 - Predictors of in-hospital mortality
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DOI:
10.1378/chest.126.4.1079
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发表时间:
2004-10-01
期刊:
影响因子:
9.6
通讯作者:
Diette, GB
Diette, GB
中科院分区:
医学1区
文献类型:
--
作者:
Hansel, NN;Merriman, B;Diette, GB

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研究目的:尽管有治愈性治疗,但美国结核病住院患者的死亡率仍然很高。本研究的目的是描述结核病住院患者的特征,并确定与住院死亡率相关的患者特征。设计、设置和患者:使用2000年全国住院患者样本,代表20%的美国住院患者,我们确定了2,279例住院患者的初步诊断为结核病(国际疾病分类,第九次修订,代码,010.xx至018.xx)。测量和结果:死亡率是主要的结果测量。进行Logistic回归分析,包括年龄,性别,种族,保险状况,收入,Deyo适应的Charlson合并症指数(DCI),HIV状态,入院来源和医院特征作为解释变量。因结核病住院的患者中,男性(64%)、非白人(72%)、居住在中等收入地区的比例过高,
Study objectives: Despite curative therapy, mortality remains high for hospitalized patients with tuberculosis (TB) in the United States. The purpose of this study was to describe the characteristics of hospitalized patients with TB and to identify patient characteristics associated with in-hospital mortality.Design, setting, and patients: Using the 2000 Nationwide Inpatient Sample, representing 20% of US hospital admissions, we identified 2,279 hospital admissions with a primary diagnosis of TB (International Classification of Diseases, ninth revision, codes, 010.xx to 018.xx).Measurements and results: Mortality was the main outcome measure. Logistic regression analyses were performed including age, gender, race, insurance status, income, Deyo-adapted Charlson comorbidity index (DCI), HIV status, hospital admission source, and hospital characteristics as explanatory variables. A disproportionate number of patients hospitalized with TB were men (64%), nonwhite (72%), lived in areas with median incomes of