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Measles hospitalizations, United States, 1977-84: comparison with national surveillance data
Abstract:
Trends in measles discharges from hospitals participating in the Commission on Professional and Hospital Activities, Professional Activities Study (CPHA-PAS) from 1977 to 1984 reflected the rapid decline in measles morbidity indicated by national surveillance data with an 88 per cent decrease in hospitalizations and a 95 per cent decrease in reported cases from 1977 to 1984. Overall trends in number, age, and seasonal distribution were also generally similar. Thirty-four per cent of the hospitalizations listed respiratory complications, 8.5 per cent otitis media, and 3.4 per cent neurologic complications.
Insights
Measles hospitalizations and cases significantly declined from 1977 to 1984, mirroring national trends. Respiratory complications were the most common reason for measles hospitalization during this period.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- Measles morbidity trends are crucial for understanding disease impact.
- Hospitalization data provides insights into disease severity and complications.
Purpose of the Study:
- To analyze trends in measles hospital discharges from 1977 to 1984.
- To compare hospital discharge trends with national measles surveillance data.
- To identify common complications associated with measles hospitalization.
Main Methods:
- Utilized data from the Commission on Professional and Hospital Activities, Professional Activities Study (CPHA-PAS).
- Analyzed trends in measles discharges, including patient demographics and seasonality.
- Examined primary diagnoses and complications for hospitalized measles cases.
Main Results:
- An 88% decrease in measles hospitalizations and a 95% decrease in reported cases were observed from 1977 to 1984.
- Trends in patient numbers, age distribution, and seasonal patterns of hospitalization mirrored national surveillance data.
- Respiratory complications accounted for 34% of hospitalizations, followed by otitis media (8.5%) and neurologic complications (3.4%).
Conclusions:
- Hospitalization data accurately reflects the decline in measles morbidity observed nationally.
- Measles hospitalizations during this period were frequently associated with significant complications, particularly respiratory issues.
- The study highlights the importance of continued surveillance and management of measles and its sequelae.