TY - JOUR
T1 - Hospital admissions for tuberculous pericarditis in the United States 2002-2014
AU - Lima, Neiberg de Alcantara
AU - Stancic, Christopher
AU - Vos, Duncan
AU - Carmen Diaz Insua, Mireya Mireya Del
AU - Lima, Carol Cavalcante de Vasconcelos
AU - de Castro, Ricardo Lessa
AU - Maravelas, Rheanne
AU - Melgar, Thomas A.
PY - 2019/10/1
Y1 - 2019/10/1
N2 - Background: Extra pulmonary manifestations of tuberculosis (TB) are rare in developed countries. TB is the main etiology of chronic pericarditis in developing countries, but it's epidemiology is not unknown in the United States. Methods: This retrospective study used the Healthcare Utilization Projects/Nationwide Inpatient Sample (HCUPS/NIS) database from 2002-2014 to evaluate the characteristics, risk factors, trends over time and region of tuberculous pericarditis in the United States. Results: The data during the study period consists of 100,790,900 discharges accounting for 482,872,274 weighted discharges. The data showed 744 weighted discharges with indication of both tuberculosis and pericarditis. A co-ocurrence of TB pericarditis and malignancy or chronic kidney disease was more common than in patients without TB pericarditis. The frequency of co-ocurrence of TB pericarditis and HIV infection, obesity, alcohol abuse and organ transplant was not elevated. Conclusion: TB pericarditis is rare disease in the USA and the classical risk factors for lung tuberculosis may not be associated with TB pericarditis. CKD and malignancy appear to be associated with TB pericarditis, further studies are required to determine causality.
AB - Background: Extra pulmonary manifestations of tuberculosis (TB) are rare in developed countries. TB is the main etiology of chronic pericarditis in developing countries, but it's epidemiology is not unknown in the United States. Methods: This retrospective study used the Healthcare Utilization Projects/Nationwide Inpatient Sample (HCUPS/NIS) database from 2002-2014 to evaluate the characteristics, risk factors, trends over time and region of tuberculous pericarditis in the United States. Results: The data during the study period consists of 100,790,900 discharges accounting for 482,872,274 weighted discharges. The data showed 744 weighted discharges with indication of both tuberculosis and pericarditis. A co-ocurrence of TB pericarditis and malignancy or chronic kidney disease was more common than in patients without TB pericarditis. The frequency of co-ocurrence of TB pericarditis and HIV infection, obesity, alcohol abuse and organ transplant was not elevated. Conclusion: TB pericarditis is rare disease in the USA and the classical risk factors for lung tuberculosis may not be associated with TB pericarditis. CKD and malignancy appear to be associated with TB pericarditis, further studies are required to determine causality.
KW - Epidemiology
KW - United States
KW - pericarditis
KW - tuberculosis
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U2 - 10.4103/ijmy.ijmy_150_19
DO - 10.4103/ijmy.ijmy_150_19
M3 - Article
C2 - 31793504
AN - SCOPUS:85076083395
SN - 2212-5531
VL - 8
SP - 347
EP - 350
JO - International Journal of Mycobacteriology
JF - International Journal of Mycobacteriology
IS - 4
ER -