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Spatial analysis of avoidable hospitalizations due to tuberculosis in Ribeirao Preto, SP, Brazil (2006-2012)

Overview of attention for article published in Revista de Saúde Pública, January 2016
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Title
Spatial analysis of avoidable hospitalizations due to tuberculosis in Ribeirao Preto, SP, Brazil (2006-2012)
Published in
Revista de Saúde Pública, January 2016
DOI 10.1590/s1518-8787.2016050006049
Pubmed ID
Authors

Yamamura, Mellina, Freitas, Isabela Moreira de, Santo Neto, Marcelino, Chiaravalloti Neto, Francisco, Popolin, Marcela Antunes Paschoal, Arroyo, Luiz Henrique, Rodrigues, Ludmila Barbosa Bandeira, Crispim, Juliane Almeida, Arcêncio, Ricardo Alexandre

Abstract

OBJECTIVE To describe the spatial distribution of avoidable hospitalizations due to tuberculosis in the municipality of Ribeirao Preto, SP, Brazil, and to identify spatial and space-time clusters for the risk of occurrence of these events. METHODS This is a descriptive, ecological study that considered the hospitalizations records of the Hospital Information System of residents of Ribeirao Preto, SP, Southeastern Brazil, from 2006 to 2012. Only the cases with recorded addresses were considered for the spatial analyses, and they were also geocoded. We resorted to Kernel density estimation to identify the densest areas, local empirical Bayes rate as the method for smoothing the incidence rates of hospital admissions, and scan statistic for identifying clusters of risk. Softwares ArcGis 10.2, TerraView 4.2.2, and SaTScanTM were used in the analysis. RESULTS We identified 169 hospitalizations due to tuberculosis. Most were of men (n = 134; 79.2%), averagely aged 48 years (SD = 16.2). The predominant clinical form was the pulmonary one, which was confirmed through a microscopic examination of expectorated sputum (n = 66; 39.0%). We geocoded 159 cases (94.0%). We observed a non-random spatial distribution of avoidable hospitalizations due to tuberculosis concentrated in the northern and western regions of the municipality. Through the scan statistic, three spatial clusters for risk of hospitalizations due to tuberculosis were identified, one of them in the northern region of the municipality (relative risk [RR] = 3.4; 95%CI 2.7-4,4); the second in the central region, where there is a prison unit (RR = 28.6; 95%CI 22.4-36.6); and the last one in the southern region, and area of protection for hospitalizations (RR = 0.2; 95%CI 0.2-0.3). We did not identify any space-time clusters. CONCLUSIONS The investigation showed priority areas for the control and surveillance of tuberculosis, as well as the profile of the affected population, which shows important aspects to be considered in terms of management and organization of health care services targeting effectiveness in primary health care.

Mendeley readers

The data shown below were compiled from readership statistics for 84 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 1%
Unknown 83 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 16 19%
Student > Bachelor 14 17%
Student > Doctoral Student 9 11%
Researcher 8 10%
Other 5 6%
Other 18 21%
Unknown 14 17%
Readers by discipline Count As %
Nursing and Health Professions 20 24%
Medicine and Dentistry 18 21%
Social Sciences 5 6%
Unspecified 3 4%
Computer Science 2 2%
Other 16 19%
Unknown 20 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 May 2016.
All research outputs
#19,203,675
of 21,578,868 outputs
Outputs from Revista de Saúde Pública
#626
of 626 outputs
Outputs of similar age
#237,328
of 281,886 outputs
Outputs of similar age from Revista de Saúde Pública
#1
of 1 outputs
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