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Increasing hospital admissions for pneumonia, England.

Trotter CL, Stuart JM, George R, Miller E - Emerging Infect. Dis. (2008)

Bottom Line: The increase was more marked in older adults, in whom the mortality rate was also highest.The proportion of patients with recorded coexisting conditions (defined by using the Charlson Comorbidity Index score) increased over the study period.It may be attributable to other population factors, changes in HES coding, changes to health service organization, other biologic phenomenon, or a combination of these effects.

View Article: PubMed Central - PubMed

Affiliation: University of Bristol, Bristol, UK. caroline.trotter@bristol.ac.uk

ABSTRACT
Pneumonia is an important cause of illness and death in England. To describe trends in pneumonia hospitalizations, we extracted information on all episodes of pneumonia that occurred from April 1997 through March 2005 recorded in the Hospital Episode Statistics (HES) database by searching for International Classification of Diseases 10th revision codes J12-J18 in any diagnostic field. The age-standardized incidence of hospitalization with a primary diagnosis of pneumonia increased by 34% from 1.48 to 1.98 per 1,000 population between 1997-98 and 2004-05. The increase was more marked in older adults, in whom the mortality rate was also highest. The proportion of patients with recorded coexisting conditions (defined by using the Charlson Comorbidity Index score) increased over the study period. The rise in pneumonia hospital admissions was not fully explained by demographic change or increasing coexisting conditions. It may be attributable to other population factors, changes in HES coding, changes to health service organization, other biologic phenomenon, or a combination of these effects.

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Percentage of patients admitted with a primary diagnosis of pneumonia who died in hospital with pneumonia within 30 days of their first pneumonia admission, by Hospital Episode Statistics year (April to March).
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Figure 3: Percentage of patients admitted with a primary diagnosis of pneumonia who died in hospital with pneumonia within 30 days of their first pneumonia admission, by Hospital Episode Statistics year (April to March).

Mentions: The crude 30-day in-hospital mortality rates for all ages were fairly stable over the study period, declining slightly in older adults (Figure 3). Mortality rates were higher in the older age groups; in adults >85 years of age; 47% were reported to have died in the hospital within 30 days of admission with a primary diagnosis of pneumonia over the study period.


Increasing hospital admissions for pneumonia, England.

Trotter CL, Stuart JM, George R, Miller E - Emerging Infect. Dis. (2008)

Percentage of patients admitted with a primary diagnosis of pneumonia who died in hospital with pneumonia within 30 days of their first pneumonia admission, by Hospital Episode Statistics year (April to March).
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2600241&req=5

Figure 3: Percentage of patients admitted with a primary diagnosis of pneumonia who died in hospital with pneumonia within 30 days of their first pneumonia admission, by Hospital Episode Statistics year (April to March).
Mentions: The crude 30-day in-hospital mortality rates for all ages were fairly stable over the study period, declining slightly in older adults (Figure 3). Mortality rates were higher in the older age groups; in adults >85 years of age; 47% were reported to have died in the hospital within 30 days of admission with a primary diagnosis of pneumonia over the study period.

Bottom Line: The increase was more marked in older adults, in whom the mortality rate was also highest.The proportion of patients with recorded coexisting conditions (defined by using the Charlson Comorbidity Index score) increased over the study period.It may be attributable to other population factors, changes in HES coding, changes to health service organization, other biologic phenomenon, or a combination of these effects.

View Article: PubMed Central - PubMed

Affiliation: University of Bristol, Bristol, UK. caroline.trotter@bristol.ac.uk

ABSTRACT
Pneumonia is an important cause of illness and death in England. To describe trends in pneumonia hospitalizations, we extracted information on all episodes of pneumonia that occurred from April 1997 through March 2005 recorded in the Hospital Episode Statistics (HES) database by searching for International Classification of Diseases 10th revision codes J12-J18 in any diagnostic field. The age-standardized incidence of hospitalization with a primary diagnosis of pneumonia increased by 34% from 1.48 to 1.98 per 1,000 population between 1997-98 and 2004-05. The increase was more marked in older adults, in whom the mortality rate was also highest. The proportion of patients with recorded coexisting conditions (defined by using the Charlson Comorbidity Index score) increased over the study period. The rise in pneumonia hospital admissions was not fully explained by demographic change or increasing coexisting conditions. It may be attributable to other population factors, changes in HES coding, changes to health service organization, other biologic phenomenon, or a combination of these effects.

Show MeSH
Related in: MedlinePlus