Infectious Disease Hospitalizations, New York City, 2001-2014

Chaorui C. Huang, David E. Lucero, Sungwoo Lim, Yihong Zhao, Robert J. Arciuolo, Joseph Burzynski, Demetre Daskalakis, Annie D. Fine, Jordan Kennedy, Dana Haberling, Neil M. Vora

Research output: Contribution to journalArticlepeer-review


Objective: Hospital discharge data are a means of monitoring infectious diseases in a population. We investigated rates of infectious disease hospitalizations in New York City. Methods: We analyzed data for residents discharged from New York State hospitals with a principal diagnosis of an infectious disease during 2001-2014 by using the Statewide Planning and Research Cooperative System. We calculated annual age-adjusted hospitalization rates and the percentage of hospitalizations in which in-hospital death occurred. We examined diagnoses by site of infection or sepsis and by pathogen type. Results: During 2001-2014, the mean annual age-adjusted rate of infectious disease hospitalizations in New York City was 1661.6 (95% CI, 1659.2-1663.9) per 100 000 population; the mean annual age-adjusted hospitalization rate decreased from 2001-2003 to 2012-2014 (rate ratio = 0.9; 95% CI, 0.9-0.9). The percentage of in-hospital death during 2001-2014 was 5.9%. The diagnoses with the highest mean annual age-adjusted hospitalization rates among all sites of infection and sepsis diagnoses were the lower respiratory tract, followed by sepsis. From 2001-2003 to 2012-2014, the mean annual age-adjusted hospitalization rate per 100 000 population for HIV decreased from 123.1 (95% CI, 121.7-124.5) to 40.0 (95% CI, 39.2-40.7) and for tuberculosis decreased from 10.2 (95% CI, 9.8-10.6) to 4.6 (95% CI, 4.4-4.9). Conclusions: Although hospital discharge data are subject to limitations, particularly for tracking sepsis, lower respiratory tract infections and sepsis are important causes of infectious disease hospitalizations in New York City. Hospitalizations for HIV infection and tuberculosis appear to be declining.

Original languageEnglish (US)
Pages (from-to)587-598
Number of pages12
JournalPublic Health Reports
Issue number5
StatePublished - Sep 1 2020

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health


  • epidemiology
  • hospitalization
  • infectious disease
  • public health


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