1992
DOI: 10.1093/oxfordjournals.aje.a116282
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Hospitalizations Involving Gastroenteritis in the United States, 1985: The Special Burden of the Disease among the Elderly

Abstract: While diarrheal disease is a well-recognized problem in children, its impact in the elderly has not been adequately assessed. Among the 4.06 million hospitalizations in 1985 in the McDonnell-Douglas Health Information System database, 98,185 hospitalizations, including 1,130 deaths, had gastroenteritis recorded as a discharge diagnosis. The authors analyzed the 87,181 hospitalizations and 514 deaths for which gastroenteritis was one of the top three diagnoses. Gastroenteritis was among the top three diagnoses … Show more

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Cited by 96 publications
(59 citation statements)
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“…We considered a relatively broad definition because GI is often not ascribed to a specific pathogen: specified gastrointestinal infections (ICD-9 codes 001---009.9; excluding 003.2, 005.0---005.3), unspecified gastroenteritis (558.9), and diarrhea (787.91). 27,28 For comparability with previous studies, we included vibrio cases (005.4, 005.81) and nonspecific food poisoning, which may plausibly be waterborne. We excluded other symptoms involving the digestive system and dehydration to increase the specificity of the case definition.…”
Section: Methodsmentioning
confidence: 99%
“…We considered a relatively broad definition because GI is often not ascribed to a specific pathogen: specified gastrointestinal infections (ICD-9 codes 001---009.9; excluding 003.2, 005.0---005.3), unspecified gastroenteritis (558.9), and diarrhea (787.91). 27,28 For comparability with previous studies, we included vibrio cases (005.4, 005.81) and nonspecific food poisoning, which may plausibly be waterborne. We excluded other symptoms involving the digestive system and dehydration to increase the specificity of the case definition.…”
Section: Methodsmentioning
confidence: 99%
“…Among otherwise healthy people, the risk of fatality during a bout of diarrhea is most common for the elderly whether traveling or remaining in a nursing home. More than 80% of deaths in the United States associated with diarrhea occur in the elderly ( 67 ). For infants and the elderly with severe TD and in anyone who develops profuse cholera-like watery diarrhea, balanced ORS and medical evaluation are advised.…”
Section: Diagnosismentioning
confidence: 99%
“…8 It is estimated that rotavirus may be responsible for 2-5% of adult gastroenteritis (GE) hospitalizations, 5 with advanced age being the most significant mortality risk factor in patients hospitalized for GE. 9 Epidemic outbreaks of rotavirus GE have also occurred among adults who live in closed communities such as long-term care facilities. [3][4][5][6][10][11][12][13][14] Poor host immunity and multiple comorbid disorders may facilitate the spread of infection.…”
Section: Introductionmentioning
confidence: 99%
“…[3][4][5][6][10][11][12][13][14] Poor host immunity and multiple comorbid disorders may facilitate the spread of infection. 5,6,[9][10][11][12] The aim of the current study was to assess the safety and immunogenicity of RV5 (RotaTeq Âź , Merck & Co., Inc.) in an elderly population as a preparation for the assessment of a potential public health benefit of the vaccine in this population. RV5 is a live pentavalent vaccine containing 5 humanbovine reassortant rotaviruses, with the WC3 bovine strain as a backbone and viral surface proteins that correspond to human serotypes G1, G2, G3, G4, and P1A [8].…”
Section: Introductionmentioning
confidence: 99%