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Published on: September 5, 2017
Tuberculosis mortality: death from a curable disease, Connecticut, 2007-2009
J A Kattan1, L E Sosa, M N Lobato
1Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Summary
Most deaths among tuberculosis (TB) patients in Connecticut were TB-related, with many missed care opportunities. Excess alcohol use and older age were linked to higher death risk.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Tuberculosis Control
Background:
- Tuberculosis (TB) remains a significant public health concern globally and nationally.
- Understanding factors contributing to TB-related mortality is crucial for effective control strategies.
- Identifying missed opportunities in diagnosis and treatment can improve patient outcomes.
Purpose of the Study:
- To determine the proportion of deaths related to tuberculosis (TB) among diagnosed patients in Connecticut.
- To identify missed opportunities in the diagnosis and medical management of TB-related deaths.
- To ascertain factors associated with mortality in TB patients.
Main Methods:
- Retrospective review of TB Control Program records, medical charts, autopsy reports, and death certificates for TB patients in Connecticut (2007-2009).
- Utilized a standardized tool to assess TB-relatedness of deaths and identify missed care opportunities.
- Compared data from deceased TB patients with TB survivors to identify risk factors for death.
Main Results:
- Seven percent (20/300) of TB patients died between 2007-2009; 85% of these deaths were TB-related.
- Among TB-related deaths, 94% (16/17) had at least one identified missed opportunity in care.
- Excess alcohol use (RR 4.4) and age over 64 (RR 5.7) were significantly associated with increased risk of death.
Conclusions:
- The majority of deaths among TB patients in Connecticut were directly related to the disease.
- There were frequent missed opportunities in diagnosis and treatment, highlighting areas for intervention.
- Targeted monitoring for excess alcohol use and older individuals may help prevent TB-related mortality.
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