Hospitalisations related to lower respiratory tract infections in Northern Queensland

Pak, Anton, Adegboye, Oyelola A., Eisen, Damon P., and McBryde, Emma S. (2021) Hospitalisations related to lower respiratory tract infections in Northern Queensland. Australian and New Zealand Journal of Public Health, 45 (5). pp. 430-436.

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Objective: To investigate the admission characteristics and hospital outcomes for patients admitted with lower respiratory tract infections (LRTI) in Northern Queensland.

Methods: We perform a retrospective analysis of the data covering an 11-year period, 2006–2016. Length of hospital stay (LOS) is modelled by negative binomial regression and heterogeneous effects are checked using interaction terms.

Results: A total of 11,726 patients were admitted due to LRTI; 2,430 (20.9%) were of Indigenous descent. We found higher hospitalisations due to LRTI for Indigenous than non-Indigenous patients, with a disproportionate increase in hospitalisations occurring during winter. The LOS for Indigenous patients was higher by 2.5 days [95%CI: -0.15; 5.05] than for non-Indigenous patients. The average marginal effect of 17.5 [95%CI: 15.3; 29.7] implies that the LOS for a patient, who was admitted to ICU, was higher by 17.5 days.

Conclusions: We highlighted the increased burden of LRTIs experienced by Indigenous populations, with this information potentially being useful for enhancing community-level policy making.

Implications for public health: Future guidelines can use these results to make recommendations for preventative measures in Indigenous communities. Improvements in engagement and partnership with Indigenous communities and consumers can help increase healthcare uptake and reduce the burden of respiratory diseases.

Item ID: 68582
Item Type: Article (Research - C1)
ISSN: 1753-6405
Copyright Information: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Funders: Advance Queensland Research Fellowship
Date Deposited: 21 Jul 2021 23:05
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320211 Infectious diseases @ 35%
42 HEALTH SCIENCES > 4202 Epidemiology > 420299 Epidemiology not elsewhere classified @ 35%
49 MATHEMATICAL SCIENCES > 4905 Statistics > 490501 Applied statistics @ 30%
SEO Codes: 20 HEALTH > 2004 Public health (excl. specific population health) > 200404 Disease distribution and transmission (incl. surveillance and response) @ 50%
20 HEALTH > 2003 Provision of health and support services > 200303 Health surveillance @ 50%
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