Measuring the incidence of adult community-acquired pneumonia in a Native American community

J. P. Watt, J. C. Moïsi, R. L A Donaldson, Raymond Reid, S. Ferro, C. G. Whitney, Mathuram Santosham, Katherine L O'Brien

Research output: Contribution to journalArticle

Abstract

Few population-based studies have investigated the epidemiology of adult community-acquired pneumonia (CAP). We aimed to determine the incidence of CAP in a population at high-risk for pneumococcal disease and to evaluate a standardized method for interpreting chest radiographs adapted from the World Health Organization paediatric chest radiograph interpretation guidelines. We reviewed radiology records at the two healthcare facilities serving the White Mountain Apache tribe to identify possible pneumonia cases 40 years of age. We categorized patients with clinical criteria and a physician diagnosis of pneumonia as clinical CAP and those with clinical criteria and an acute infiltrate as radiographic CAP. We identified 100 (27/1000 person-years) and 60 (16/1000 person-years) episodes of clinical and radiographic CAP, respectively. The incidence of CAP increased with age. Both radiographic and clinical CAP were serious illnesses with more than half of patients hospitalized. Our case definitions and methods may be useful for comparing data across studies and conducting vaccine trials.

Original languageEnglish (US)
Pages (from-to)1146-1154
Number of pages9
JournalEpidemiology and Infection
Volume138
Issue number8
DOIs
StatePublished - Aug 2010

Fingerprint

North American Indians
Pneumonia
Incidence
Thorax
Population Groups
Radiology
Epidemiology
Vaccines
Guidelines
Pediatrics
Delivery of Health Care
Physicians

Keywords

  • Community-acquired pneumonia
  • epidemiology
  • incidence
  • Native Americans
  • radiology

ASJC Scopus subject areas

  • Infectious Diseases
  • Epidemiology

Cite this

Measuring the incidence of adult community-acquired pneumonia in a Native American community. / Watt, J. P.; Moïsi, J. C.; Donaldson, R. L A; Reid, Raymond; Ferro, S.; Whitney, C. G.; Santosham, Mathuram; O'Brien, Katherine L.

In: Epidemiology and Infection, Vol. 138, No. 8, 08.2010, p. 1146-1154.

Research output: Contribution to journalArticle

Watt, J. P. ; Moïsi, J. C. ; Donaldson, R. L A ; Reid, Raymond ; Ferro, S. ; Whitney, C. G. ; Santosham, Mathuram ; O'Brien, Katherine L. / Measuring the incidence of adult community-acquired pneumonia in a Native American community. In: Epidemiology and Infection. 2010 ; Vol. 138, No. 8. pp. 1146-1154.
@article{947f35d80a654d36b6026390d6455107,
title = "Measuring the incidence of adult community-acquired pneumonia in a Native American community",
abstract = "Few population-based studies have investigated the epidemiology of adult community-acquired pneumonia (CAP). We aimed to determine the incidence of CAP in a population at high-risk for pneumococcal disease and to evaluate a standardized method for interpreting chest radiographs adapted from the World Health Organization paediatric chest radiograph interpretation guidelines. We reviewed radiology records at the two healthcare facilities serving the White Mountain Apache tribe to identify possible pneumonia cases 40 years of age. We categorized patients with clinical criteria and a physician diagnosis of pneumonia as clinical CAP and those with clinical criteria and an acute infiltrate as radiographic CAP. We identified 100 (27/1000 person-years) and 60 (16/1000 person-years) episodes of clinical and radiographic CAP, respectively. The incidence of CAP increased with age. Both radiographic and clinical CAP were serious illnesses with more than half of patients hospitalized. Our case definitions and methods may be useful for comparing data across studies and conducting vaccine trials.",
keywords = "Community-acquired pneumonia, epidemiology, incidence, Native Americans, radiology",
author = "Watt, {J. P.} and Mo{\"i}si, {J. C.} and Donaldson, {R. L A} and Raymond Reid and S. Ferro and Whitney, {C. G.} and Mathuram Santosham and O'Brien, {Katherine L}",
year = "2010",
month = "8",
doi = "10.1017/S0950268809991464",
language = "English (US)",
volume = "138",
pages = "1146--1154",
journal = "Epidemiology and Infection",
issn = "0950-2688",
publisher = "Cambridge University Press",
number = "8",

}

TY - JOUR

T1 - Measuring the incidence of adult community-acquired pneumonia in a Native American community

AU - Watt, J. P.

AU - Moïsi, J. C.

AU - Donaldson, R. L A

AU - Reid, Raymond

AU - Ferro, S.

AU - Whitney, C. G.

AU - Santosham, Mathuram

AU - O'Brien, Katherine L

PY - 2010/8

Y1 - 2010/8

N2 - Few population-based studies have investigated the epidemiology of adult community-acquired pneumonia (CAP). We aimed to determine the incidence of CAP in a population at high-risk for pneumococcal disease and to evaluate a standardized method for interpreting chest radiographs adapted from the World Health Organization paediatric chest radiograph interpretation guidelines. We reviewed radiology records at the two healthcare facilities serving the White Mountain Apache tribe to identify possible pneumonia cases 40 years of age. We categorized patients with clinical criteria and a physician diagnosis of pneumonia as clinical CAP and those with clinical criteria and an acute infiltrate as radiographic CAP. We identified 100 (27/1000 person-years) and 60 (16/1000 person-years) episodes of clinical and radiographic CAP, respectively. The incidence of CAP increased with age. Both radiographic and clinical CAP were serious illnesses with more than half of patients hospitalized. Our case definitions and methods may be useful for comparing data across studies and conducting vaccine trials.

AB - Few population-based studies have investigated the epidemiology of adult community-acquired pneumonia (CAP). We aimed to determine the incidence of CAP in a population at high-risk for pneumococcal disease and to evaluate a standardized method for interpreting chest radiographs adapted from the World Health Organization paediatric chest radiograph interpretation guidelines. We reviewed radiology records at the two healthcare facilities serving the White Mountain Apache tribe to identify possible pneumonia cases 40 years of age. We categorized patients with clinical criteria and a physician diagnosis of pneumonia as clinical CAP and those with clinical criteria and an acute infiltrate as radiographic CAP. We identified 100 (27/1000 person-years) and 60 (16/1000 person-years) episodes of clinical and radiographic CAP, respectively. The incidence of CAP increased with age. Both radiographic and clinical CAP were serious illnesses with more than half of patients hospitalized. Our case definitions and methods may be useful for comparing data across studies and conducting vaccine trials.

KW - Community-acquired pneumonia

KW - epidemiology

KW - incidence

KW - Native Americans

KW - radiology

UR - http://www.scopus.com/inward/record.url?scp=77954924583&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77954924583&partnerID=8YFLogxK

U2 - 10.1017/S0950268809991464

DO - 10.1017/S0950268809991464

M3 - Article

C2 - 20056013

AN - SCOPUS:77954924583

VL - 138

SP - 1146

EP - 1154

JO - Epidemiology and Infection

JF - Epidemiology and Infection

SN - 0950-2688

IS - 8

ER -