Trends in sepsis-related mortality due to dermatologic infections in the United States: Demographic and geographic patterns from 1999 to 2023.

IF 2.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Journal of Public Health Research Pub Date : 2026-04-30 eCollection Date: 2026-04-01 DOI:10.1177/22799036261447682
Muhammad Hammad Zaheer, Hamza Zaheer, Zainab Shahnawaz, Muhammad Abdullah, Arslan Tariq
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引用次数: 0

Abstract

Background: Dermatologic infections complicated by sepsis represent a significant yet understudied cause of mortality in the United States, with evolving epidemiological patterns that warrant investigation.

Objective: To examine nationwide trends in sepsis-related mortality due to dermatologic infections from 1999 to 2023, with focus on demographic and geographic disparities.

Methods: This population-based retrospective study analyzed CDC WONDER mortality data using ICD-10 codes for dermatologic infections with sepsis. Joinpoint regression analysis calculated annual percentage changes (APCs) in age-adjusted mortality rates, stratified by gender, age, race/ethnicity, and geographic region.

Results: Among 119,837 deaths, overall mortality showed statistically significant rise during 1999-2004 (APC: 9.05%, p<0.001) and 2012-2023 (APC: 4.72%, p<0.001), with a plateau during 2004-2012. Males showed steeper recent increases (2019-2023: APC: 6.64%, p<0.001) than females. The South region experienced the highest sustained increase (2012-2023: APC: 5.19%, p<0.001). Among racial/ethnic groups, Hispanic populations showed the most pronounced variations, with the highest initial increase followed by a statistically significant decline before rising again.

Limitations: Reliance on death certificate data may introduce coding inconsistencies and underreporting.

Conclusion: Sepsis-related mortality due to dermatologic infections shows concerning upward trends across most demographic groups and regions, highlighting the need for enhanced prevention strategies and targeted interventions for vulnerable populations.

美国皮肤感染引起的败血症相关死亡率趋势:1999年至2023年的人口和地理模式
背景:在美国,皮肤感染合并败血症是一个重要的但尚未得到充分研究的死亡原因,其流行病学模式的演变值得调查。目的:研究1999年至2023年全国皮肤感染导致败血症相关死亡率的趋势,重点研究人口和地理差异。方法:这项基于人群的回顾性研究使用ICD-10编码分析了CDC WONDER皮肤感染脓毒症的死亡率数据。结合点回归分析计算了按性别、年龄、种族/民族和地理区域分层的年龄调整死亡率的年百分比变化(APCs)。结果:1999-2004年间,在119,837例死亡中,总体死亡率有统计学意义上的显著上升(APC: 9.05%)。局限性:依赖死亡证明数据可能导致编码不一致和漏报。结论:在大多数人口群体和地区,皮肤感染导致的败血症相关死亡率呈上升趋势,这突出了加强预防策略和针对弱势群体的针对性干预的必要性。
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来源期刊
Journal of Public Health Research
Journal of Public Health Research PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
4.30%
发文量
116
审稿时长
10 weeks
期刊介绍: The Journal of Public Health Research (JPHR) is an online Open Access, peer-reviewed journal in the field of public health science. The aim of the journal is to stimulate debate and dissemination of knowledge in the public health field in order to improve efficacy, effectiveness and efficiency of public health interventions to improve health outcomes of populations. This aim can only be achieved by adopting a global and multidisciplinary approach. The Journal of Public Health Research publishes contributions from both the “traditional'' disciplines of public health, including hygiene, epidemiology, health education, environmental health, occupational health, health policy, hospital management, health economics, law and ethics as well as from the area of new health care fields including social science, communication science, eHealth and mHealth philosophy, health technology assessment, genetics research implications, population-mental health, gender and disparity issues, global and migration-related themes. In support of this approach, JPHR strongly encourages the use of real multidisciplinary approaches and analyses in the manuscripts submitted to the journal. In addition to Original research, Systematic Review, Meta-analysis, Meta-synthesis and Perspectives and Debate articles, JPHR publishes newsworthy Brief Reports, Letters and Study Protocols related to public health and public health management activities.
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