Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/11098
Title: Racial disparities in infection-related mortality at Alice Springs Hospital, Central Australia, 2000--2005.
Authors: Einsiedel, Lloyd J
Fernandes, Liselle A
Woodman, Richard J
Affiliation: Department of Medicine, Alice Springs Hospital, Alice Springs, NT, Australia. lloyd.einsiedel@nt.gov.au.
Issue Date: 19-May-2008
Citation: The Medical journal of Australia 2008-05-19; 188(10): 568-71
Abstract: To compare infection-related mortality rates and pathogens isolated for Indigenous and non-Indigenous adult patients at Alice Springs Hospital (ASH). Retrospective study of inhospital deaths of adults (patients aged > or = 15 years) associated with an infection during a medical or renal admission to ASH between 1 January 2000 and 31 December 2005. Admission- and population-based infection-related mortality rates and mortality rate ratios (MRRs) for Indigenous versus non-Indigenous adults. There were 513 deaths, of 351 Indigenous and 162 non-Indigenous patients. For Indigenous patients, 60% of deaths were infection-related, compared with 25% for non-Indigenous patients (P < 0.001). The admission-based infection-related MRR for Indigenous versus non-Indigenous adults was 2.2 (95% CI, 1.6-3.1) (15.3 v 6.8 deaths per 1000 admissions; P < 0.001). After adjusting for age and year of death, the population-based infection-related MRR was 11.3 (95% CI, 8.0-15.8) overall (351 v 35 deaths per 100,000 population; P < 0.001) and 31.5 (95% CI, 16.1-61.8) for patients aged < 60 years. The median age of patients who died with an infection was 49 (interquartile range [IQR], 38-67) years for Indigenous and 73 (IQR, 58-80) years for non-Indigenous patients (P < 0.001). For Indigenous patients, 56% of infection-related deaths were associated with bacterial sepsis, with half of these due to enteric organisms. Other deaths followed chronic hepatitis B infection, invasive fungal infections and complications of strongyloidiasis. Indigenous patients at ASH are 11 times more likely than non-Indigenous patients to die with an infectious disease. This racial disparity reflects the ongoing socioeconomic disadvantage experienced by Indigenous Australians.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/11098
ISSN: 0025-729X
Type: Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Subjects: Adolescent
Adult
Aged
Aged, 80 and over
Female
Hospital Mortality
Humans
Infection
Male
Middle Aged
Northern Territory
Retrospective Studies
Survival Rate
Ethnic Groups
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