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Free Content Tuberculosis mortality: death from a curable disease, Connecticut, 2007–2009

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Abstract:

SETTING: Health Department Tuberculosis (TB) Control program, Connecticut, United States

OBJECTIVE: 1) To assess TB-relatedness of deaths and missed opportunities among Connecticut patients who died with TB, and 2) to identify factors associated with death.

DESIGN: The study population consisted of all persons diagnosed with TB and reported to the Connecticut TB Control Program during 2007–2009. TB Control Program records, medical records, autopsy reports and death certificates of decedents were reviewed. A tool was used to categorize TB-relatedness of deaths and identify missed opportunities in diagnosis and medical treatment among TB-related deaths. Surveillance data regarding TB survivors were used for comparison to identify factors associated with death.

RESULTS: During 2007–2009, 20/300 (7%) persons with TB died; 14 (70%) decedents had at least one medical comorbidity and 17 (85%) deaths were TB-related. Among patients who had a TB-related death, 16 (94%) had ≥1 missed opportunity identified. Excess alcohol use (risk ratio [RR] 4.4, 95% confidence interval [CI] 1.8–11.0) and age > 64 years (RR 5.7, 95%CI 2.5–13.1) were associated with death.

CONCLUSIONS: The majority of deaths among Connecticut TB patients were TB-related. Missed opportunities were common. Excess alcohol use and older age might indicate a need for monitoring to prevent death.

Keywords: United States; epidemiology; errors; health department

Document Type: Research Article

DOI: http://dx.doi.org/10.5588/ijtld.12.0169

Affiliations: 1: Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA; Connecticut Department of Public Health, Hartford, Connecticut, USA 2: Connecticut Department of Public Health, Hartford, Connecticut, USA 3: Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Publication date: December 1, 2012

More about this publication?
  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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