Determinants of hospitalizations for pneumonia among Finnish drug users

SAGE Open Medicine
Olubunmi O OlubamwoJussi Kauhanen

Abstract

The study examined the determinants of being hospitalized for pneumonia in a large cohort of drug users. Information of 4817 clients seeking treatment for illicit drug use was linked with the Finnish hospital discharge register to identify those who were hospitalized with main/primary diagnoses of pneumonia during 1997-2013. Cox regression models were used to examine the association between age, gender, homelessness, and route of drug administration of the primary drug at initial clinical consultation and pneumonia hospitalization. Findings were presented as adjusted hazard ratios and 95% confidence intervals. There were 354 persons diagnosed with pneumonia, with a total of 522 hospitalizations at the end of 2013. The univariate Cox models revealed that being over 44 years of age, male gender, homelessness, and intravenous drug use at initial clinical consultation increased the risk of being hospitalized for pneumonia. In the fully adjusted multivariate model, being over 44 years was the strongest factor independently associated with pneumonia hospitalization (adjusted hazard ratio: 2.67, 95% confidence interval: 1.56-4.57, p < 0.001), followed by homelessness (adjusted hazard ratio: 1.75, 95% confidence interval: 1.38-2.22, p ...Continue Reading

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Citations

Jan 30, 2020·Medical Sciences : Open Access Journal·Catia CillónizAntoni Torres
Jan 14, 2021·The Journal of Applied Laboratory Medicine·Christopher W FarnsworthSophonie Jean

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Software Mentioned

Statistical Package for the Social Sciences ( SPSS )

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