Cysticercosis-related hospitalizations in the United States, 1998-2011.
Cysticercosis has become increasingly recognized as an important infection in the United States in recent decades. Despite its potential impact, there is a lack of comprehensive information on the nationwide burden of disease. To better define the burden of cysticercosis in the United States, we analyzed in-patient records using the Nationwide Inpatient Sample for 1998-2011 to estimate cysticercosis-related hospitalizations and patient/institutional characteristics. There were an estimated 33,060 (95% confidence interval [95% CI] = 29,610.5-36,510.3) cysticercosis-related hospitalizations nationwide, representing a hospitalization rate of 8.03 per million population. The highest proportion of cases were male (54.8%), Hispanic (62.0%), aged 18-44 (58.8%), and occurred in the West (45.1%). An estimated 459 deaths occurred, representing an in-hospital case-fatality rate of 1.4%. These findings indicate the burden of cysticercosis-related hospitalizations in the United States is considerable and may be greater than currently appreciated. Cysticercosis should be a nationally reportable disease.
Department of Health Sciences, California State University, Northridge, California; Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, California; Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia kaitlin.okeefe@csun.edu.
Kaitlin A
KA
O'Keefe
Department of Health Sciences, California State University, Northridge, California; Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, California; Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia.
Mark L
ML
Eberhard
Department of Health Sciences, California State University, Northridge, California; Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, California; Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia.
Shira C
SC
Shafir
Department of Health Sciences, California State University, Northridge, California; Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, California; Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia.
Patricia
P
Wilkins
Department of Health Sciences, California State University, Northridge, California; Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, California; Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia.
Lawrence R
LR
Ash
Department of Health Sciences, California State University, Northridge, California; Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, California; Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia.
Frank J
FJ
Sorvillo
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D017281:Cost of Illness; D003551:Cysticercosis / Q000453:epidemiology* / Q000401:mortality; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D041201:Taenia solium; D014481:United States / Q000453:epidemiology; D055815:Young Adult