S334 Factors Associated With Absenteeism from Screening Colonoscopy at a Safety Net Endoscopy Center in New York City

SUMMARYThis study aims to describe changes in incidence and risk factors for community-associated methicillin resistant Staphylococcus aureus (CA-MRSA) infections upon admission to two New York City hospitals from 2006 to 2012. We examined the first hospitalization for adult patients using electronic health record and administrative data and determined the annual incidence/1000 admissions of total S. aureus, total MRSA, and CA-MRSA (within 48 h of admission) in clinical specimens over the study period. Logistic regression was used to identify factors associated with CA-MRSA in 2006 and 2012. In 137 350 admissions, the incidence of S. aureus, MRSA, and CA-MRSA/1000 admissions were 15·6, 7·0, and 3·5, respectively. The total S. aureus and MRSA isolations decreased significantly over the study period (27% and 25%, respectively) while CA-MRSA incidence was unchanged. CA-MRSA increased as a proportion of all MRSA between 2006 (46%) and 2012 (62%), and was most frequently isolated from respiratory (1·5/1000) and blood (0·7/1000) cultures. Logistic regression analysis of factors associated with isolation of CA-MRSA showed that age ⩾65 years [odds ratio (OR) 2·3, 95% confidence interval (CI) 1·2–4·5], male gender (OR 1·8, 95% CI 1·2–2·8) and history of renal failure (OR 2·6, 95% CI 1·6–4·2) were significant predictors of infection in 2006. No predictors were identified in 2012.

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Hospital-level factors associated with death during pneumonia-associated hospitalization among adults—New York City, 2010–2014

PLoS ONE ◽

10.1371/journal.pone.0256678 ◽

2021 ◽

Vol 16 (10) ◽

pp. e0256678

Author(s):

Kate Whittemore ◽

Kristian M. Garcia ◽

Chaorui C. Huang ◽

Sungwoo Lim ◽

Demetre C. Daskalakis ◽

...

Keyword(s):

New York ◽

New York City ◽

York City ◽

Death Rate ◽

Teaching Hospitals ◽

Hospital Death ◽

Negative Binomial Regression Model ◽

Hospital Level ◽

American Hospital ◽

Factors Associated

Background In New York City (NYC), pneumonia is a leading cause of death and most pneumonia deaths occur in hospitals. Whether the pneumonia death rate in NYC reflects reporting artifact or is associated with factors during pneumonia-associated hospitalization (PAH) is unknown. We aimed to identify hospital-level factors associated with higher than expected in-hospital pneumonia death rates among adults in NYC. Methods Data from January 1, 2010–December 31, 2014 were obtained from the New York Statewide Planning and Research Cooperative System and the American Hospital Association Database. In-hospital pneumonia standardized mortality ratio (SMR) was calculated for each hospital as observed PAH death rate divided by expected PAH death rate. To determine hospital-level factors associated with higher in-hospital pneumonia SMR, we fit a hospital-level multivariable negative binomial regression model. Results Of 148,172 PAH among adult NYC residents in 39 hospitals during 2010–2014, 20,820 (14.06%) resulted in in-hospital death. In-hospital pneumonia SMRs varied across NYC hospitals (0.77–1.23) after controlling for patient-level factors. An increase in average daily occupancy and membership in the Council of Teaching Hospitals were associated with increased in-hospital pneumonia SMR. Conclusions Differences in in-hospital pneumonia SMRs between hospitals might reflect differences in disease severity, quality of care, or coding practices. More research is needed to understand the association between average daily occupancy and in-hospital pneumonia SMR. Additional pneumonia-specific training at teaching hospitals can be considered to address higher in-hospital pneumonia SMR in teaching hospitals.

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Factors Associated with SARS-CoV-2 Infection in Physician Trainees in New York City During the First COVID-19 Wave

Journal of Scientific Innovation in Medicine ◽

10.29024/jsim.132 ◽

2021 ◽

Vol 4 (2) ◽

Author(s):

Kate R. Pawloski ◽

Betty Kolod ◽

Rabeea F. Khan ◽

Vishal Midya ◽

Tania Chen ◽

...

Keyword(s):

New York ◽

New York City ◽

York City ◽

Factors Associated

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Sociodemographic Correlates of Food Insecurity Among New York City Tobacco Users

American Journal of Health Promotion ◽

10.1177/0890117120904002 ◽

2020 ◽

Vol 34 (6) ◽

pp. 664-667

Author(s):

Christina N. Wysota ◽

Scott E. Sherman ◽

Elizabeth Vargas ◽

Erin S. Rogers

Keyword(s):

New York ◽

New York City ◽

Food Insecurity ◽

Low Income ◽

York City ◽

Safety Net ◽

The United States ◽

United States Department ◽

Poverty Level ◽

Sociodemographic Correlates

Purpose: To identify rates and sociodemographic correlates of food insecurity among low-income smokers. Design: Cross-sectional analysis of baseline survey data from a randomized controlled trial (N = 403) testing a smoking cessation intervention for low-income smokers. Setting: Two safety-net hospitals in New York City. Sample: Current smokers with annual household income <200% of the federal poverty level. Measures: Food insecurity was measured using the United States Department of Agriculture 6-item food security module. Participant sociodemographics were assessed by self-reported survey responses. Analysis: We used frequencies to calculate the proportion of smokers experiencing food insecurity and multivariable logistic regression to identify factors associated with being food insecure. Results: Fifty-eight percent of participants were food insecure, with 29% reporting very high food insecurity. Compared to married participants, separated, widowed, or divorced participants were more likely to be food insecure (adjusted odds ratio [AOR] = 2.33, 95% confidence interval [CI]: 1.25-4.33), as were never married participants (AOR = 2.81, 95% CI: 1.54-5.14). Conclusions: Health promotion approaches that target multiple health risks (eg, smoking and food access) may be needed for low-income populations. Interventions which seek to alleviate food insecurity may benefit from targeting socially isolated smokers.

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