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Hospitalisation Rates (hospitalisation + rate)
Selected AbstractsHospital admissions of Indigenous and non-Indigenous Australians due to interpersonal violence, July 1999 to June 2004AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 3 2009Jesia G. Berry Abstract Objective: To compare the incidence of injury-related hospitalisations and the injury profiles for interpersonal violence, in the Indigenous and non-Indigenous populations of Australia. Method: Descriptive analysis of the National Hospital Morbidity Database (NHMD), using data for the Northern Territory, Western Australia, South Australia and Queensland for the period 1 July 1999 to 30 June 2004. Results: Indigenous people were twice as likely as non-Indigenous people to be hospitalised for injury (age-standardised rate ratio [SRR] 2.26, 95% CI 2.24,2.29), and had a 17-fold greater hospitalisation rate for interpersonal violence (SRR, 16.9, 95% CI 16.6,17.3). Indigenous males and females were most commonly injured by a family member or intimate partner and females constituted 54% of Indigenous cases. Most non-Indigenous cases were males (82%), most commonly injured by stranger(s). Head injuries by bodily force were the most frequent injuries. Age-standardised hospitalisation rates of interpersonal violence increased with remoteness of usual residence for Indigenous people and, less so, for others. Conclusion: The largest differential between Indigenous and non-Indigenous injury-related hospitalisations was for interpersonal violence, particularly for women. About half the excess morbidity from interpersonal violence among Indigenous people is due to factors associated with remote living. Implications: Culturally appropriate interventions that tackle a wide range of social and economic issues are needed to mitigate Indigenous interpersonal violence. [source] Epidemiology of varicella-zoster virus in England and WalesJOURNAL OF MEDICAL VIROLOGY, Issue S1 2003M. Brisson Abstract Many countries are studying currently the possibility of mass vaccination against varicella. The objective of this study was to provide a complete picture of the pre-vaccine epidemiology of the Varicella-Zoster Virus in England and Wales to aid in the design of immunisation programs. Population-based data including general practitioner sentinel surveillance, hospitalisation data, and death certificates from England and Wales were analysed. The average incidence rates for varicella and zoster between 1991 and 2000 were 1,291 and 373 per 100,000 years, respectively. Overall hospitalisation rates were equal for varicella and zoster (4.5 vs. 4.4 hospitalisation per 100,000 population) with 5 and 8%, respectively, having underlying immunosuppressive conditions. The age-specific proportion of cases hospitalised and length of stay were similar between the two diseases. However, the overall burden of disease is considerably higher for zoster. The number of inpatient days and case-fatality due to zoster are roughly 4 to 6 times greater than for varicella (11 vs. 3 days and 25 vs. 4 deaths per 100,000 case). These results provide base-line estimates should mass varicella vaccination be introduced in England and Wales. J. Med. Virol. 70:S9,S14, 2003. © 2003 Wiley-Liss, Inc. [source] Hospitalisations due to pertussis in New Zealand in the pre-immunisation and mass immunisation erasJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 3 2007Rebecca L Somerville Aim: Pertussis disease burden in New Zealand in recent decades has been large compared with other developed countries. However, these comparisons use data from relatively short time periods given the long epidemic cycle of pertussis. To better understand the current disease burden, this study examined pertussis hospitalisation data in New Zealand in both the pre-immunisation and mass immunisation eras. Methods: Hospital discharge data and population data from 1873 to 2004 were used to estimate average pertussis hospital discharge rates per decade. Rates were compared using relative risks and 95% confidence intervals (CI). Results: Average annual pertussis hospitalisation rates per 100 000 were less than two from 1873 to 1919, increased to 12 in the 1940s, decreased to less than four in the 1960s and have increased since then with the rate in the current decade being 5.8. Compared with the 1960s (3.8 per 100 000) the average annual rate has been significantly greater in the 1980s (RR = 1.11, 95% CI 1.03, 1.21), 1990s (RR = 1.33, 95% CI 1.23, 1.44) and 2000s (RR = 1.55, 95% CI 1.42, 1.68). Since 1960 hospitalisation rates have increased for those less than one year old, one to four years old and five years and older. The increases have been most marked for infants (RR 2000s vs. 1960s = 2.87, 95% CI 2.59, 3.18). Conclusion: After an initial decline following mass immunisation, pertussis hospitalisation rates in New Zealand have subsequently increased steadily. To reduce pertussis disease burden improved immunisation coverage and timeliness is required and consideration given to spreading the pertussis vaccine schedule over a wider age range. [source] Rotavirus hospitalisation in New Zealand children under 3 years of ageJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 4 2006Keith Grimwood Objective: To describe the epidemiology of severe rotavirus gastroenteritis and to estimate the hospitalisation rates of this illness in New Zealand children under 3 years of age. Methods: Children under 3 years of age with acute diarrhoea admitted to 1 of 8 study hospitals between 1 May 1998 and 30 April 2000 were surveyed. Their socio-demographic, treatment and length-of-stay data were recorded and stool samples tested by a rotavirus-specific enzyme-linked immunoassay. National hospital discharge data for infectious diarrhoea (International Classification of Diseases, ninth revision, 003,009) were reviewed, allowing population-based estimates for rotavirus-related hospitalisation in New Zealand. Results: Of 2019 enrolled children, 1138 (56.4%) provided stools for testing, and of these 485 (42.6%) tested rotavirus positive. Rotavirus detection varied significantly by age (26.8% for 0 to 5 months, 42.5% for 6 to 11 months and 52.1% for children aged 12 to 35 months; P < 0.001), and by season (51.2% in winter/spring vs. 24.5% in summer/autumn; P < 0.001). While those infected with rotavirus were more likely to be dehydrated (50.6% vs. 37.4%; P < 0.001), their median hospital stay was similar (1.0 vs. 2.0 days; P = 0.09) to other children with acute gastroenteritis. The estimated national hospitalisation rate for rotavirus diarrhoea in children under 3 years, standardised for age and season, was 634 (95% CI 597, 672) per 100 000. In New Zealand, rotaviruses result in 1 in 52 children being hospitalised by 3 years of age. Conclusions: Rotavirus diarrhoea is an important, potentially vaccine-preventable cause of hospitalisation in New Zealand children, especially during winter and spring seasons. [source] Establishment of a pharmacoepidemiological database in Germany: methodological potential, scientific value and practical limitationsPHARMACOEPIDEMIOLOGY AND DRUG SAFETY, Issue 3 2008Dipl., Iris Pigeot Dr rer.nat. Abstract Purpose We present a new population-based pharmacoepidemiological (PE) database obtained from statutory health insurances (SHIs) that is able to generate signals, to monitor prescribed drugs and to describe drug utilisation. We discuss methodological features of the database and we assess to which degree this database reflects basic demographic characteristics and hospitalisation rates of the general population. Methods Files of three SHIs were linked with drug dispensation data from a pharmacies' electronic data processing centre on an individual basis using the unique subject identification number (ID) at a trusted third party centre. Plausibility checks and descriptive analyses were carried out. Results The database covers 3.6 million SHI-members, provides drug utilisation data and data on hospitalisations. SHI membership is fairly stable over time. Our data indicate marked differences in socio-demographic characteristics between SHIs. Hospital admission rates standardised for age vary between 0.164 and 0.229 per person year, which is in good agreement with official statistics (0.20). The age distribution shows good agreement for men and some underrepresentation for women above the age of 60 as compared to the general population. Conclusions Confounder information on medical conditions, concomitant medications and socio-demographic variables can be obtained from the database, while the assessment of confounders related to lifestyle requires supplementary data collection. The database allows for a population-based approach and reflects daily practice including off-label use of drugs. Independent recording of exposure and outcome data prevents reporting bias on medication or outcome. Legal conditions that allow continuous updating of the database need to be settled. Copyright © 2008 John Wiley & Sons, Ltd. [source] Hospital admissions of Indigenous and non-Indigenous Australians due to interpersonal violence, July 1999 to June 2004AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 3 2009Jesia G. Berry Abstract Objective: To compare the incidence of injury-related hospitalisations and the injury profiles for interpersonal violence, in the Indigenous and non-Indigenous populations of Australia. Method: Descriptive analysis of the National Hospital Morbidity Database (NHMD), using data for the Northern Territory, Western Australia, South Australia and Queensland for the period 1 July 1999 to 30 June 2004. Results: Indigenous people were twice as likely as non-Indigenous people to be hospitalised for injury (age-standardised rate ratio [SRR] 2.26, 95% CI 2.24,2.29), and had a 17-fold greater hospitalisation rate for interpersonal violence (SRR, 16.9, 95% CI 16.6,17.3). Indigenous males and females were most commonly injured by a family member or intimate partner and females constituted 54% of Indigenous cases. Most non-Indigenous cases were males (82%), most commonly injured by stranger(s). Head injuries by bodily force were the most frequent injuries. Age-standardised hospitalisation rates of interpersonal violence increased with remoteness of usual residence for Indigenous people and, less so, for others. Conclusion: The largest differential between Indigenous and non-Indigenous injury-related hospitalisations was for interpersonal violence, particularly for women. About half the excess morbidity from interpersonal violence among Indigenous people is due to factors associated with remote living. Implications: Culturally appropriate interventions that tackle a wide range of social and economic issues are needed to mitigate Indigenous interpersonal violence. [source] Preventing Fractures in Large Rural Centres: Sociodemographic Sub-Groups at Risk of Osteoporosis from their LifestyleAUSTRALIAN JOURNAL OF RURAL HEALTH, Issue 6 2000Hedley G. Peach ABSTRACT Middle-aged people living in non-metropolitan Victoria have higher hospitalisation rates from osteoporotic fractures than those in metropolitan areas. This may reflect a higher prevalence of lifestyle risk factors for osteoporosis. One-fifth of Victoria's non-metropolitan population live in ,large rural centres'. The aim of the present study was to identify the sociodemographic sub-groups in a ,large rural centre' at risk of osteoporosis because of their lifestyle. Adults on Ballarat's electoral rolls were invited to complete a questionnaire and have their height and weight measured. A total of 335 eligible people participated in the present study (67% response). The sub-groups at risk of osteoporosis were identified using logistic regression analyses. Among women, being single/separated/divorced/ widowed was associated with being underweight and having low dietary calcium. A lack of exercise was associated with not completing high school and smoking with being aged 25,44 years. Among men, low dietary calcium was associated with not completing high school and smoking was associated with being employed in a non-professional/ non-managerial occupation. These sub-groups must be considered when planning preventative strategies for people in ,large rural centres'. [source] PREVENTING FRACTURES IN LARGE RURAL CENTRES: SOCIODEMOGRAPHIC SUB-GROUPS AT RISK OF OSTEOPOROSIS FROM THEIR LIFESTYLEAUSTRALIAN JOURNAL OF RURAL HEALTH, Issue 6 2000Hedley G. Peach ABSTRACT: Middle-aged people living in non-metropolitan Victoria have higher hospitalisation rates from osteoporotic fractures than those in metropolitan areas. This may reflect a higher prevalence of lifestyle risk factors for osteoporosis. One-fifth of Victoria's non-metropolitan population live in ,large rural centres'. The aim of the present study was to identify the sociodemographic sub-groups in a ,large rural centre' at risk of osteoporosis because of their lifestyle. Adults on Ballarat's electoral rolls were invited to complete a questionnaire and have their height and weight measured. A total of 335 eligible people participated in the present study (67% response). The sub-groups at risk of osteoporosis were identified using logistic regression analyses. Among women, being single/separated/divorced/ widowed was associated with being underweight and having low dietary calcium. A lack of exercise was associated with not completing high school and smoking with being aged 25,44 years. Among men, low dietary calcium was associated with not completing high school and smoking was associated with being employed in a non-professional/ non-managerial occupation. These sub-groups must be considered when planning preventative strategies for people in ,large rural centres'. [source] | ||||||||||