Flu & Pneumonia Toll in the U.S.: 57,688 Deaths Per Year

March 9, 2020

P-I_Deaths

Over the past two decades, influenza & pneumonia has been the 8th leading cause of death in America.  From 1999 to 2018, there were 1,153,761 deaths in the United States from influenza and pneumonia – an average of 57,688 deaths each year.  The overall death rate from influenza and pneumonia, however, was higher two decades ago than in recent years.
SOURCE:  National Vital Statistics System, CDC WONDER.  ICD-10-CM J09-J18.

 


QuickStats: Age-Adjusted Suicide Rates by Sex and Three Most Common Methods — United States, 2000–2018

March 6, 2020

The three most common methods of suicide among males and females during 2000–2018 were by firearm, suffocation, and poisoning.

After remaining steady from 2000 to 2006, age-adjusted firearm suicide rates increased during 2006–2018 among males (from 10.3 to 12.6 per 100,000) and females (from 1.4 to 1.9).

Suffocation suicide rates among males and females increased steadily during 2000–2018 (from 3.4 to 6.7 for males and from 0.7 to 1.9 for females).

In contrast to the other suicide methods, poisoning suicide rates during 2000–2018 initially increased and then declined, from 2.3 in 2010 to 1.9 in 2018 among males and from 2.0 in 2015 to 1.7 in 2018 among females.

Throughout the period 2000–2018, suicide rates by all methods were higher among males than among females, with the greatest difference in the rates for suicide by firearm.

Source: National Center for Health Statistics, National Vital Statistics System, mortality data. https://www.cdc.gov/nchs/nvss/deaths.htm.

https://www.cdc.gov/mmwr/volumes/69/wr/mm6909a7.htm


Recent Trends in Vaginal Birth After Cesarean Delivery: United States, 2016–2018

March 5, 2020

Questions for Michelle Osterman, M.H.S., Health Statistician and Lead Author of “Recent Trends in Vaginal Birth After Cesarean Delivery: United States, 2016–2018,”

Q: Why did you decide to do a report on rates of vaginal birth after cesarean delivery (VBAC)?

MO: Women who deliver vaginally after a previous cesarean delivery are less likely to experience birth-related morbidities and in recent years there has been an effort in the medical community to make VBAC more available; however, national data on VBAC and VBAC trends just recently become available again This report examines the 3 years of available national data to explore recent VBAC trends.


Q: Was there a specific finding in the data that surprised you?

MO: How widespread the increase was by age, race, state of residence, and for term gestational ages was surprising.


Q: How did you obtain this data for this report?

MO: This information is from all birth certificates reported in the Unites States via the National Vital Statistics System for 2016-2018.


Q: What is the take home message for this report?

MO: There appears to be widespread increases in VBAC from 2016 through 2018.


Racial and Ethnic Differences in the Prevalence of Attention-deficit/Hyperactivity Disorder and Learning Disabilities Among U.S. Children Aged 3–17 Years

March 4, 2020

Attention-deficit/hyperactivity disorder (ADHD) and learning disabilities are the most commonly diagnosed neurodevelopmental disorders in children and often coexist.

Previous research has suggested that the prevalence of these conditions may differ by race and Hispanic origin.

Using timely, nationally representative data, this report examines the reported prevalence of ADHD and learning disabilities by race and ethnicity and select demographic characteristics that are associated with the diagnosis of these conditions.

Findings: 

  • In 2016–2018, nearly 14% of children aged 3–17 years were reported as ever having been diagnosed with either attention-deficit/hyperactivity disorder (ADHD) or a learning disability; non-Hispanic black children were the most likely to be diagnosed (16.9%).
  • Among children aged 3–10 years, non-Hispanic black children were more likely to have ever been diagnosed with ADHD or a learning disability compared with non-Hispanic white or Hispanic children.
  • Diagnosis of ADHD or a learning disability differed by federal poverty level for children in all racial and ethnic groups.
  • Diagnosis of ADHD or a learning disability differed by parental education among non-Hispanic white children only.

Trends in electronic health records use among residential care communities: United States 2012, 2014, and 2016

March 3, 2020

Questions for Christine Caffrey Health Statistician and Lead Author of “Trends in electronic health records use among residential care communities: United States 2012, 2014, and 2016.”

Q: Why did you decide to focus on electronic health records use and support for health information exchange among residential care communities?

CC: Since how health information is organized and shared has the potential to affect the quality and efficiency of care and improve communication and facilitate care coordination, especially during care transitions, we wanted to get a national view of how many residential care communities are using electronic health records and have support for health information exchange.

Also, as the Federal Health IT Strategic Plan 2015–2020, established by the Office of the National Coordinator for Health Information Technology, aims to advance health information technology, it is important to understand trends in EHR use and health information exchange capability over time in various health care sectors, including long-term care settings such as residential care communities.


Q: How did the data vary?

CC: We examined several characteristics of residential care communities to see whether electronic health record use and computerized support for health information exchange with physicians or pharmacies were different over time.  What we found was that the percentage of residential care communities that used electronic health records increased between 2012 and 2016 overall (20% to 26%), and increased for all bed size categories, profit and nonprofit ownership, chain and nonchain affiliation, six out of nine census divisions, and metropolitan and non-metropolitan statistical areas.

Among residential care communities reporting electronic health record use, computerized support for health information exchange with physicians or pharmacies also increased between 2012 and 2016 overall (47.2% to 55.0%), and among communities that had more than 100 beds, were for profit, chain affiliated, located in the East North and East South Central census divisions, and in both metropolitan and non-metropolitan statistical areas.


Q: Can you explain what is considered a residential care community?

CC: Residential care communities provide care to persons who cannot live independently but generally do not require the skilled care provided by nursing homes.

Residential care places are known by different names in different states. We refer to all of these places and others like them as residential care communities.  Just a few terms used to refer to these places are assisted living, personal care, and adult care homes, facilities, and communities; adult family and board and care homes; adult foster care; homes for the aged; and housing with services establishments.


Q: Was there a specific finding in the data that surprised you?

CC: In 2016, electronic health record use was higher in residential care communities in non-metropolitan statistical area (33.0%) compared with residential care communities in metropolitan areas (24.5%).

The percentage of residential care communities with more than 100 beds that used EHRs and had the capability to exchange health information increased from 48.4% in 2012 to 64.9% in 2016.


Q: What is the take home message for this report?

CC: The percentages of residential care communities that use electronic health records and have support for health information exchange with physicians and pharmacies are increasing over time, and the increases vary based on the organizational and geographic characteristics of the residential care communities.