Space-time clustering and temporal trends of hospitalizations due to pulmonary tuberculosis

Detalhes bibliográficos
Autor(a) principal: Santos, João Almeida
Data de Publicação: 2020
Outros Autores: Santos, Danielle T, Arcencio, Ricardo A, Nunes, Carla
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/105689
Resumo: © The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
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spelling Space-time clustering and temporal trends of hospitalizations due to pulmonary tuberculosispotential strategy for assessing health care policiesSDG 3 - Good Health and Well-being© The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.BACKGROUND: Tuberculosis (TB) causes pressure on healthcare resources, especially in terms of hospital admissions, despite being considered an ambulatory care-sensitive condition for which timely and effective care in ambulatory setting could prevent the need for hospitalization. Our objectives were to describe the spatial and temporal variation in pulmonary tuberculosis (PTB) hospitalizations, identify critical geographic areas at municipality level and characterize clusters of PTB hospitalizations to help the development of tailored disease management strategies that could improve TB control. METHODS: Ecologic study using sociodemographic, geographical and clinical information of PTB hospitalization cases from continental Portuguese public hospitals, between 2002 and 2016. Descriptive statistics, spatiotemporal cluster analysis and temporal trends were conducted. RESULTS: The space-time analysis identified five clusters of higher rates of PTB hospitalizations (2002-16), including the two major cities in the country (Lisboa and Porto). Globally, we observed a -7.2% mean annual percentage change in rate with only one of the identified clusters (out of six) with a positive trend (+4.34%). In the more recent period (2011-16) was obtained a mean annual percentage change in rate of -8.12% with only one cluster identified with an increase trend (+9.53%). CONCLUSIONS: Our results show that space-time clustering and temporal trends analysis can be an invaluable resource to monitor the dynamic of the disease and contribute to the design of more effective, focused interventions. Interventions such as enhancing the detection of active and latent infection, improving monitoring and evaluation of treatment outcomes or adjusting the network of healthcare providers should be tailored to the specific needs of the critical areas identified.Centro de Investigação em Saúde Pública (CISP/PHRC)Escola Nacional de Saúde Pública (ENSP)RUNSantos, João AlmeidaSantos, Danielle TArcencio, Ricardo ANunes, Carla2020-10-15T22:50:19Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/105689eng1101-1262PURE: 25948719https://doi.org/10.1093/eurpub/ckaa161info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:50:54Zoai:run.unl.pt:10362/105689Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:40:33.544885Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Space-time clustering and temporal trends of hospitalizations due to pulmonary tuberculosis
potential strategy for assessing health care policies
title Space-time clustering and temporal trends of hospitalizations due to pulmonary tuberculosis
spellingShingle Space-time clustering and temporal trends of hospitalizations due to pulmonary tuberculosis
Santos, João Almeida
SDG 3 - Good Health and Well-being
title_short Space-time clustering and temporal trends of hospitalizations due to pulmonary tuberculosis
title_full Space-time clustering and temporal trends of hospitalizations due to pulmonary tuberculosis
title_fullStr Space-time clustering and temporal trends of hospitalizations due to pulmonary tuberculosis
title_full_unstemmed Space-time clustering and temporal trends of hospitalizations due to pulmonary tuberculosis
title_sort Space-time clustering and temporal trends of hospitalizations due to pulmonary tuberculosis
author Santos, João Almeida
author_facet Santos, João Almeida
Santos, Danielle T
Arcencio, Ricardo A
Nunes, Carla
author_role author
author2 Santos, Danielle T
Arcencio, Ricardo A
Nunes, Carla
author2_role author
author
author
dc.contributor.none.fl_str_mv Centro de Investigação em Saúde Pública (CISP/PHRC)
Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Santos, João Almeida
Santos, Danielle T
Arcencio, Ricardo A
Nunes, Carla
dc.subject.por.fl_str_mv SDG 3 - Good Health and Well-being
topic SDG 3 - Good Health and Well-being
description © The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
publishDate 2020
dc.date.none.fl_str_mv 2020-10-15T22:50:19Z
2021
2021-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/105689
url http://hdl.handle.net/10362/105689
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1101-1262
PURE: 25948719
https://doi.org/10.1093/eurpub/ckaa161
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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