Spatial variation in the risk of hospitalization with childhood pneumonia and empyema in the North of England

A. P. Blain; M. F. Thomas; M. D.F. Shirley; C. Simmister; M. A. Elemraid; Russell Gorton; M. S. Pearce; J. E. Clark; S. P. Rushton; D. A. Spencer

doi:10.1017/S0950268813001015

Spatial variation in the risk of hospitalization with childhood pneumonia and empyema in the North of England

A. P. Blain^*, M. F. Thomas, M. D.F. Shirley, C. Simmister, M. A. Elemraid, Russell Gorton, M. S. Pearce, J. E. Clark, S. P. Rushton, D. A. Spencer

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

19 Citations (Scopus)

Abstract

The aim of this study was to investigate spatial variation in risk of hospitalization in childhood pneumonia and empyema in the North of England and associated risk factors. Data on childhood (0-14 years) hospital admissions with a diagnosis pneumonia or empyema were linked to postcode districts. Bayesian conditional autoregressive models were used to evaluate spatial variation and the relevance of specific spatial covariates in an area-based study using postcode as the areal unit. There was a sixfold variation in the risk of hospitalization due to pneumonia across the study region. Variation in risk was associated with material deprivation, Child Well-being Index (CWI) health domain score, number of children requiring local authority support, and distance to hospital. No significant spatial variation in risk for empyema was found.

Original language	English
Pages (from-to)	388-398
Number of pages	11
Journal	Epidemiology and Infection
Volume	142
Issue number	2
DOIs	https://doi.org/10.1017/S0950268813001015
Publication status	Published - Feb 2014

Keywords

Deprivation
paediatrics
pleural empyema
pneumonia epidemiology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1017/S0950268813001015

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title = "Spatial variation in the risk of hospitalization with childhood pneumonia and empyema in the North of England",

abstract = "The aim of this study was to investigate spatial variation in risk of hospitalization in childhood pneumonia and empyema in the North of England and associated risk factors. Data on childhood (0-14 years) hospital admissions with a diagnosis pneumonia or empyema were linked to postcode districts. Bayesian conditional autoregressive models were used to evaluate spatial variation and the relevance of specific spatial covariates in an area-based study using postcode as the areal unit. There was a sixfold variation in the risk of hospitalization due to pneumonia across the study region. Variation in risk was associated with material deprivation, Child Well-being Index (CWI) health domain score, number of children requiring local authority support, and distance to hospital. No significant spatial variation in risk for empyema was found.",

keywords = "Deprivation, paediatrics, pleural empyema, pneumonia epidemiology",

author = "Blain, {A. P.} and Thomas, {M. F.} and Shirley, {M. D.F.} and C. Simmister and Elemraid, {M. A.} and Russell Gorton and Pearce, {M. S.} and Clark, {J. E.} and Rushton, {S. P.} and Spencer, {D. A.}",

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doi = "10.1017/S0950268813001015",

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T1 - Spatial variation in the risk of hospitalization with childhood pneumonia and empyema in the North of England

AU - Blain, A. P.

AU - Thomas, M. F.

AU - Shirley, M. D.F.

AU - Simmister, C.

AU - Elemraid, M. A.

AU - Gorton, Russell

AU - Pearce, M. S.

AU - Clark, J. E.

AU - Rushton, S. P.

AU - Spencer, D. A.

PY - 2014/2

Y1 - 2014/2

N2 - The aim of this study was to investigate spatial variation in risk of hospitalization in childhood pneumonia and empyema in the North of England and associated risk factors. Data on childhood (0-14 years) hospital admissions with a diagnosis pneumonia or empyema were linked to postcode districts. Bayesian conditional autoregressive models were used to evaluate spatial variation and the relevance of specific spatial covariates in an area-based study using postcode as the areal unit. There was a sixfold variation in the risk of hospitalization due to pneumonia across the study region. Variation in risk was associated with material deprivation, Child Well-being Index (CWI) health domain score, number of children requiring local authority support, and distance to hospital. No significant spatial variation in risk for empyema was found.

AB - The aim of this study was to investigate spatial variation in risk of hospitalization in childhood pneumonia and empyema in the North of England and associated risk factors. Data on childhood (0-14 years) hospital admissions with a diagnosis pneumonia or empyema were linked to postcode districts. Bayesian conditional autoregressive models were used to evaluate spatial variation and the relevance of specific spatial covariates in an area-based study using postcode as the areal unit. There was a sixfold variation in the risk of hospitalization due to pneumonia across the study region. Variation in risk was associated with material deprivation, Child Well-being Index (CWI) health domain score, number of children requiring local authority support, and distance to hospital. No significant spatial variation in risk for empyema was found.

KW - Deprivation

KW - paediatrics

KW - pleural empyema

KW - pneumonia epidemiology

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SN - 0950-2688

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EP - 398

JO - Epidemiology and Infection

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IS - 2

ER -

Spatial variation in the risk of hospitalization with childhood pneumonia and empyema in the North of England

Abstract

Keywords

UN SDGs

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