scholarly journals Deaths From Pneumonia—New York City, 1999–2015

2018 ◽  
Vol 5 (2) ◽  
Author(s):  
Evette Cordoba ◽  
Gil Maduro ◽  
Mary Huynh ◽  
Jay K Varma ◽  
Neil M Vora
Keyword(s):  
New York ◽  
New York City ◽  
Cause Of Death ◽  
York City ◽  
Death Rate ◽  
Multivariable Analysis ◽  
Etiologic Agent ◽  
Staten Island ◽  
Underlying Cause Of Death ◽  
Poverty Levels

Abstract Background “Pneumonia and influenza” are the third leading cause of death in New York City. Since 2012, pneumonia and influenza have been the only infectious diseases listed among the 10 leading causes of death in NYC. Most pneumonia and influenza deaths in NYC list pneumonia as the underlying cause of death, not influenza. We therefore analyzed death certificate data for pneumonia in NYC during 1999–2015. Methods We calculated annualized pneumonia death rates (overall and by sociodemographic subgroup) and examined the etiologic agent listed. Results There were 41 400 pneumonia deaths during the study period, corresponding to an annualized age-adjusted death rate of 29.7 per 100 000 population. Approximately 17.5% of pneumonia deaths specified an etiologic agent. Age-adjusted pneumonia death rate declined over the study period and across each borough. Males had an annualized age-adjusted pneumonia death rate 1.5 (95% confidence interval [CI], 1.5–1.5) times that of females. Non-Hispanic blacks had an annualized age-adjusted pneumonia death rate 1.2 (95% CI, 1.2–1.2) times that of non-Hispanic whites. The annualized pneumonia death rate increased with age group above 5–24 years and neighborhood-level poverty. Staten Island had an annualized age-adjusted pneumonia death rate 1.3 (95% CI, 1.2–1.3) times that of Manhattan. In the multivariable analysis, pneumonia deaths were more likely to occur among males, non-Hispanic blacks, persons aged ≥65 years, residents of neighborhoods with higher poverty levels, and in Staten Island. Conclusions While the accuracy of death certificates is unknown, investigation is needed to understand why certain populations are disproportionately recorded as dying from pneumonia in NYC.

scholarly journals Sensitivity and Positive Predictive Value of Death Certificate Data Among Deaths Caused by Legionnaires’ Disease in New York City, 2008-2013

2018 ◽  
Vol 133 (5) ◽  
pp. 578-583
Author(s):  
Olivia C. Tran ◽  
David E. Lucero ◽  
Sharon Balter ◽  
Robert Fitzhenry ◽  
Mary Huynh ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Positive Predictive Value ◽  
Cause Of Death ◽  
York City ◽  
Predictive Value ◽  
Death Certificate ◽  
Death Certificates ◽  
Legionnaires Disease ◽  
Underlying Cause Of Death

Objectives: Death certificates are an important source of information for understanding life expectancy and mortality trends; however, misclassification and incompleteness are common. Although deaths caused by Legionnaires’ disease might be identified through routine surveillance, it is unclear whether Legionnaires’ disease is accurately recorded on death certificates. We evaluated the sensitivity and positive predictive value of death certificates for identifying deaths from confirmed or suspected Legionnaires’ disease among adults in New York City. Methods: We deterministically matched death certificate data from January 1, 2008, through December 31, 2013, on New York City residents aged ≥18 years to surveillance data on confirmed and suspected cases of Legionnaires’ disease from January 1, 2008, through October 31, 2013. We estimated sensitivity and positive predictive value by using surveillance data as the reference standard. Results: Of 294 755 deaths, 27 (<0.01%) had an underlying cause of death of Legionnaires’ disease and 33 (0.01%) had any mention of Legionnaires’ disease on the death certificate. Of 1211 confirmed or suspected cases of Legionnaires’ disease, 267 (22.0%) matched to a record in the death certificate data set. The sensitivity of death certificates that listed Legionnaires’ disease as the underlying cause of death was 17.3% and of death certificates with any mention of Legionnaires’ disease was 20.9%. The positive predictive value of death certificates that listed Legionnaires’ disease as the underlying cause of death was 70.4% and of death certificates with any mention of Legionnaires’ disease was 69.7%. Conclusions: Death certificates had limited ability to identify confirmed or suspected deaths with Legionnaires’ disease. Provider trainings on the diagnosis of Legionnaires’ disease, particularly hospital settings, and proper completion of death certificates might improve the sensitivity of death certificates for people who die of Legionnaires’ disease.

scholarly journals Erroneous Reporting of Deaths Attributed to Pneumonia and Influenza at 2 New York City Teaching Hospitals, 2013-2014

2020 ◽  
Vol 135 (6) ◽  
pp. 796-804
Author(s):  
Tyler S. Brown ◽  
Kathryn Dubowski ◽  
Madia Plitt ◽  
Laura Falci ◽  
Erica Lee ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Cause Of Death ◽  
York City ◽  
Teaching Hospitals ◽  
Systematic Bias ◽  
Medical Provider ◽  
Extrinsic Factors ◽  
Location Of Death ◽  
Underlying Cause Of Death

Objectives Cause-of-death information, reported by frontline clinicians after a patient’s death, is an irreplaceable source of public health data. However, systematic bias in cause-of-death reporting can lead to over- or underestimation of deaths attributable to different causes. New York City consistently reports higher rates of deaths attributable to pneumonia and influenza than many other US cities and the country. We investigated systematic erroneous reporting as a possible explanation for this phenomenon. Methods We reviewed all deaths from 2 New York City hospitals during 2013-2014 in which pneumonia or influenza was reported as the underlying cause of death (n = 188), and we examined the association between erroneous reporting and multiple extrinsic factors that may influence cause-of-death reporting (patient demographic characteristics and medical comorbidities, time and hospital location of death, type of medical provider reporting the death, and availability of certain diagnostic information). Results Pneumonia was erroneously reported as the underlying cause of death in 163 (86.7%) reports. We identified heart disease and dementia as the more likely underlying cause of death in 21% and 17% of erroneously reported deaths attributable to pneumonia, respectively. We found no significant association between erroneous reporting and the multiple extrinsic factors examined. Conclusions Our results underscore how erroneous reporting of 1 condition can lead to underreporting of other causes of death. Misapplication or misunderstanding of procedures by medical providers, rather than extrinsic factors influencing the reporting process, are key drivers of erroneous cause-of-death reporting.

Underlying cause of death in incident unprovoked seizures in the urban community of Northern Manhattan, New York City

Epilepsia ◽  
2009 ◽  
Vol 50 (10) ◽  
pp. 2296-2300 ◽  
Author(s):  
Emma K.T. Benn ◽  
W. Allen Hauser ◽  
Tina Shih ◽  
Linda Leary ◽  
Emilia Bagiella ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Cause Of Death ◽  
York City ◽  
Urban Community ◽  
Underlying Cause Of Death

scholarly journals GREENMARKET NOVA-IORQUINO: ONDE O RURAL SE ENCONTRA COM A MEGALÓPOLE AMERICANA

2018 ◽  
Vol 3 ◽  
Author(s):  
Gutemberg Armando Diniz Guerra ◽  
Maria De Nazaré Angelo MENEZES ◽  
Daniel Garcia ◽  
Lin Chau Ming
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Staten Island ◽  
Green Market

<p>O <em>Greenmarket Farmers</em>, como são chamados os mercados hortícolas em Nova Iorque, Estados Unidos da América, tem como uma de suas particularidades a de ser organizado por produtores rurais apoiados pelo <em>Council of Environment of the New York City </em>e cuja venda de produtos deve ser feita diretamente aos consumidores, sem intermediários. Exerce uma importante função, tanto para os agricultores quanto para o público consumidor. No presente estudo foi realizado levantamento contínuo no período de um ano (agosto de 2008 a junho de 2009) seguindo-se de visitas pontuais nos anos de 2010, 2011 e 2012 ao levantamento sistemático, um refinamento dos dados sobre as plantas hortícolas comercializadas e seus produtores no <em>Greenmarket Farmers</em>, que possuem 46 pontos de venda em Manhattan, Brooklyn, Queens, Bronx e Staten Island. Neste período foram observados aspectos de entrelaçamento entre produtores rurais e consumidores urbanos, além da diversidade vegetal. Foram levantadas 120 espécies de plantas comercializadas por 60 produtores, nos diversos pontos do Green Market. Foram listadas 38 famílias botânicas, inseridas em 84 gêneros. A família mais recorrente é Brassicaceae (18), seguida de Asteraceae (13), Lamiaceae (12) e Rosaceae (12). Aspecto que se revela nestas feiras é a face agrícola do estado de Nova Iorque, em geral representado por atividades de turismo e do centro financeiro do mais poderoso país do mundo, e uma das maiores concentrações populacionais do planeta. O apelo ecológico, o estímulo ao consumo de produtos locais e a concessão de cupons de beneficio cedidos às pessoas em dificuldade<a title="" href="file:///C:/Users/Eraldo/Documents/02%20-%20Vivencias%20e%20tecnicas%20de%20relaxamento/Green%20market.NYC%20%2010_Out_2018%20Daniel%20GG%20(1).doc#_ftn1">[1]</a>, em uma comunidade cosmopolita e multi-étnica, canalizam recursos públicos e apoiam este tipo de mercado, permitindo uma reflexão sobre as relações e interatividade entre rural e urbano, diluídas pelas características próprias aos países desenvolvidos, em especial em grandes cidades. Portanto, percebe-se com este trabalho que os “greenmarkets” são pontos não só de venda de grande diversidade de vegetais, mas também local para relacionamentos, trocas de experiências e ideologias.</p><div><br clear="all" /><hr align="left" size="1" width="33%" /><div><p><a title="" href="file:///C:/Users/Eraldo/Documents/02%20-%20Vivencias%20e%20tecnicas%20de%20relaxamento/Green%20market.NYC%20%2010_Out_2018%20Daniel%20GG%20(1).doc#_ftnref1">[1]</a> Os cupons podem ser usados em qualquer supermercado ou nos Greenmarkets.</p></div></div>

Calculating Age-Standardized Death Rates Among People With HIV Comparable Across Jurisdictions and Over Time

2021 ◽  
Vol 111 (1) ◽  
pp. 121-126
Author(s):  
Qiang Xia ◽  
Ying Sun ◽  
Chitra Ramaswamy ◽  
Lucia V. Torian ◽  
Wenhui Li
Keyword(s):  
United States ◽  
New York ◽  
New York City ◽  
York City ◽  
Death Rate ◽  
Age Distribution ◽  
The United States ◽  
Local Health ◽  
Death Rates ◽  
Over Time

The Centers for Disease Control and Prevention (CDC) and local health jurisdictions have been using HIV surveillance data to monitor mortality among people with HIV in the United States with age-standardized death rates, but the principles of age standardization have not been consistently followed, making age standardization lose its purpose—comparison over time, across jurisdictions, or by other characteristics. We review the current practices of age standardization in calculating death rates among people with HIV in the United States, discuss the principles of age standardization including those specific to the HIV population whose age distribution differs markedly from that of the US 2000 standard population, make recommendations, and report age-standardized death rates among people with HIV in New York City. When we restricted the analysis population to adults aged between 18 and 84 years in New York City, the age-standardized death rate among people with HIV decreased from 20.8 per 1000 (95% confidence interval [CI] = 19.2, 22.3) in 2013 to 17.1 per 1000 (95% CI = 15.8, 18.3) in 2017, and the age-standardized death rate among people without HIV decreased from 5.8 per 1000 in 2013 to 5.5 per 1000 in 2017.

scholarly journals An Intervention to Improve Cause-of-Death Reporting in New York City Hospitals, 2009–2010

2012 ◽  
Vol 9 ◽  
Author(s):  
Ann Madsen ◽  
Sayone Thihalolipavan ◽  
Gil Maduro ◽  
Regina Zimmerman ◽  
Ram Koppaka ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Cause Of Death ◽  
York City

Etiology of Nonspecific Cause of Death Coding in New York City Motor Vehicle Crash–Related Fatalities

2011 ◽  
Vol 12 (1) ◽  
pp. 18-23 ◽  
Author(s):  
Sayone Thihalolipavan ◽  
Ann Madsen ◽  
Monica Smiddy ◽  
Wenhui Li ◽  
Elizabeth Begier ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Cause Of Death ◽  
York City ◽  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Vehicle Crash

scholarly journals Hospital-level factors associated with death during pneumonia-associated hospitalization among adults—New York City, 2010–2014

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0256678
Author(s):  
Kate Whittemore ◽  
Kristian M. Garcia ◽  
Chaorui C. Huang ◽  
Sungwoo Lim ◽  
Demetre C. Daskalakis ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Death Rate ◽  
Teaching Hospitals ◽  
Hospital Death ◽  
Negative Binomial Regression Model ◽  
Hospital Level ◽  
American Hospital ◽  
Factors Associated

Background In New York City (NYC), pneumonia is a leading cause of death and most pneumonia deaths occur in hospitals. Whether the pneumonia death rate in NYC reflects reporting artifact or is associated with factors during pneumonia-associated hospitalization (PAH) is unknown. We aimed to identify hospital-level factors associated with higher than expected in-hospital pneumonia death rates among adults in NYC. Methods Data from January 1, 2010–December 31, 2014 were obtained from the New York Statewide Planning and Research Cooperative System and the American Hospital Association Database. In-hospital pneumonia standardized mortality ratio (SMR) was calculated for each hospital as observed PAH death rate divided by expected PAH death rate. To determine hospital-level factors associated with higher in-hospital pneumonia SMR, we fit a hospital-level multivariable negative binomial regression model. Results Of 148,172 PAH among adult NYC residents in 39 hospitals during 2010–2014, 20,820 (14.06%) resulted in in-hospital death. In-hospital pneumonia SMRs varied across NYC hospitals (0.77–1.23) after controlling for patient-level factors. An increase in average daily occupancy and membership in the Council of Teaching Hospitals were associated with increased in-hospital pneumonia SMR. Conclusions Differences in in-hospital pneumonia SMRs between hospitals might reflect differences in disease severity, quality of care, or coding practices. More research is needed to understand the association between average daily occupancy and in-hospital pneumonia SMR. Additional pneumonia-specific training at teaching hospitals can be considered to address higher in-hospital pneumonia SMR in teaching hospitals.

Sex club/party attendance and STI among men who have sex with men: results from an online survey in New York City

2019 ◽  
Vol 95 (8) ◽  
pp. 584-587 ◽  
Author(s):  
Étienne Meunier ◽  
Karolynn Siegel
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Online Survey ◽  
Multivariable Analysis ◽  
Biomedical Hiv Prevention ◽  
Sti Testing ◽  
Multivariable Analyses ◽  
Sex With Men ◽  
Exposure Prophylaxis

ObjectivePrior studies have shown that men who have sex with men (MSM) who attend sex clubs or parties are at higher risk for HIV and other STIs than those who do not. We sought to provide data about MSM who attend sex clubs/parties in New York City (NYC) in the era of biomedical HIV prevention.Methods: We conducted an online survey among MSM in NYC (n=766) in 2016–2017 and investigated differences between those who reported never attending a sex club/party (non-attendees 50.1%), those who had attended over a year ago (past attendees 18.0%) and those who attended in the prior year (recent attendees 30.1%). We also conducted multivariable analyses to explore associations with past-year STI diagnosis.Results: Recent attendees were not more likely to be HIV positive than non-attendees. Among participants never diagnosed with HIV, recent attendees were more likely to use pre-exposure prophylaxis (PrEP, 32.6%) than non-attendees (14.5%) and past attendees (18.8%; p<0.001). Recent attendees reported the highest numbers of recent sex partners, including partners with whom they had condomless anal sex. Significantly more recent attendees reported an STI diagnosis in the prior year (27.9%) compared with non-attendees (14.0%) and past attendees (16.5%; p<0.001). However, 13.8% of non-attendees and 11.5% of past attendees reported having never tested for STIs, significantly more than recent attendees (6.0%, p=0.010). Multivariable analysis showed recent attendees to have 2.42 times the odds (compared with non-attendees) of reporting past-year STI diagnosis (95% CI 1.52 to 3.87, p<0.001).ConclusionsCompared with those who had not done so, MSM who attended sex clubs/parties in NYC in the prior year were not only more likely to report past-year STI diagnoses but also more likely to report PrEP use or recent HIV/STI testing. Sexual health promotion among MSM who attend sex clubs/parties should address STI risk and prevention.

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