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Clin Infect Dis. 2020 Jan 29. pii: ciaa081. doi: 10.1093/cid/ciaa081. [Epub ahead of print]

Geographic Variation in Pneumonia and Influenza in Long-Term Care Facilities: A National Study.

Bosco E1,2, Zullo AR1,2,3,4, McConeghy KW1,2,4, Moyo P1,2, van Aalst R5,6, Chit A5,7, Mwenda KM8, Panozzo CA9, Mor V1,2,4, Gravenstein S1,2,4,10.

Author information

1
Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA.
2
Center for Gerontology and Healthcare Research, School of Public Health, Brown University School of Public Health, Providence, RI, USA.
3
Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
4
Center of Innovation in Long-Term Services and Supports, Providence Veterans Affairs Medical Center, Providence, RI, USA.
5
Sanofi Pasteur, Swiftwater, PA, USA.
6
Department of Health Sciences, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
7
Leslie Dan School of Pharmacy, University of Toronto, Ontario, Canada.
8
Spatial Structures in the Social Sciences (S4)/Population Studies and Training Center (PSTC), Brown University, Providence, RI, USA.
9
Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, MA, USA.
10
Department of Medicine, Warren Alpert Medical School, Brown University, Providence, RI, USA.

Abstract

There is large U.S. county-level geographic variation in pneumonia and influenza (P&I) hospitalizations among short-stay and long-stay long-term care facility (LTCF) residents. LTCFs in counties in the Southern and Midwestern regions had the highest rates of P&I from 2013 to 2015. Future research should identify reasons for these geographic differences.

KEYWORDS:

Influenza; Long-Term Care; Medicare; Pneumonia; Spatial Analysis

PMID:
31995171
DOI:
10.1093/cid/ciaa081

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