Economic Burden of Pneumonia in an Employed Population

Birnbaum, Howard G.; Morley, Melissa; Greenberg, Paul E.; Cifaldi, M.; Colice, Gene

doi:10.1001/archinte.161.22.2725

Cited by 34 publications

(28 citation statements)

References 10 publications

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“…NIEDERMAN et al [5] and WITTLE et al [13] in the USA have reported that 95 and 81%, respectively, of the overall costs of treating pneumonia were associated with inpatient care. In the study of BIRNBAUM et al [34], carried out in employed persons, this percentage decreased to 63.…”

Section: Discussionmentioning

confidence: 89%

A population-based study of the costs of care for community-acquired pneumonia

Bartolomé

Almirall²,

Morera³

et al. 2004

European Respiratory Journal

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A population-based study of the costs of care for community-acquired pneumonia. M. Bartolomé, J. Almirall, J. Morera, G. Pera, V. Ortún, J. Bassa, I. Bolíbar, X. Balanzó, A. Verdaguer, and the Maresme Community-Acquired Pneumonia Study Group (GEMPAC). #ERS Journals Ltd 2004. ABSTRACT: In a population-based study, the consumption of resources for treating adult patients with community-acquired pneumonia was determined.During a 2-yr period, all cases with a clinical and radiological suspicion of community-acquired pneumonia that occurred in patients aged w14 yrs in a community of 74,610 inhabitants were investigated prospectively.Of 292 cases with a suspicion of community-acquired pneumonia, 224 were included (18.5% misdiagnoses). The mean number of visits per patient was 4.5 (72% in the primary care setting). Inpatient care was recommended in 59.8% of cases; after discharge, 44% of patients were managed in outpatient clinics. The mean direct cost of pneumonia treated in the hospital setting was J (euros)1,553, whereas the mean cost of cases treated as outpatients was J196. A total of 15.7% of admissions were considered inappropriate and the length of stay could have been reduced by 3.5 days in the most severe cases. A reduction in inappropriate admissions and lengths of hospital stay would result in a decrease in cost of 17.4%.Community-acquired pneumonia in Maresme, Spain, occurs at a low incidence, although with a high percentage of hospitalisations (in part inappropriate), resulting in considerable costs.

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Section: Discussionmentioning

confidence: 89%

A population-based study of the costs of care for community-acquired pneumonia

Bartolomé

Almirall²,

Morera³

et al. 2004

European Respiratory Journal

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“…Although a number of studies have reviewed the care burden of either COPD or pneumonia, no studies have quantified the burden of pneumonia in patients with COPD 11–14. Costs for patient care associated with COPD are assumed to increase with the development of pneumonia, though few studies have directly investigated this question in a real-world setting 15.…”

Section: Introductionmentioning

confidence: 99%

Costs and health care resource utilization among chronic obstructive pulmonary disease patients with newly acquired pneumonia

Lin¹,

Li²,

Tian³

et al. 2014

CEOR

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BackgroundPatients with chronic obstructive pulmonary disease (COPD) are at increased risk for lung infections and other pathologies (eg, pneumonia); however, few studies have evaluated the impact of pneumonia on health care resource utilization and costs in this population. The purpose of this study was to estimate health care resource utilization and costs among COPD patients with newly acquired pneumonia compared to those without pneumonia.MethodsA retrospective claims analysis using Truven MarketScan® Commercial and Medicare databases was conducted. COPD patients with and without newly acquired pneumonia diagnosed between January 1, 2004 and September 30, 2011 were identified. Propensity score matching was used to create a 1:1 matched cohort. Patient demographics, comorbidities (measured by Charlson Comorbidity Index), and medication use were evaluated before and after matching. Health care resource utilization (ie, hospitalizations, emergency room [ER] and outpatient visits), and associated health care costs were assessed during the 12-month follow-up. Logistic regression was conducted to evaluate the risk of hospitalization and ER visits, and gamma regression models and two-part models compared health care costs between groups after matching.ResultsIn the baseline cohort (N=467,578), patients with newly acquired pneumonia were older (mean age: 70 versus [vs] 63 years) and had higher Charlson Comorbidity Index scores (3.3 vs 2.6) than patients without pneumonia. After propensity score matching, the pneumonia cohort was nine times more likely to have a hospitalization (odds ratio; 95% confidence intervals [CI] =9.2; 8.9, 9.4) and four times more likely to have an ER visit (odds ratio; 95% CI =4.4; 4.3, 4.5) over the 12-month follow-up period compared to the control cohort. The estimated 12-month mean hospitalization costs ($14,353 [95% CI: $14,037–$14,690]), outpatient costs ($6,891 [95% CI: $6,706–$7,070]), and prescription drug costs ($1,104 [95% CI: $1,054–$1,142]) were higher in the pneumonia cohort than in the control cohort.ConclusionThis study demonstrated elevated health care resource use and costs in patients with COPD after acquiring pneumonia compared to those without pneumonia.

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“…The extent to which our results may be generalisable to other different epidemiological settings where incidence of community acquired pneumonia may be higher [4][5][6] remains to be determined.…”

Section: Discussionmentioning

confidence: 92%

Clustered Cases of Pneumonia among Healthcare Workers over a 1-year Period in Three Italian Hospitals: Applying the WHO SARS Alert

et al. 2006

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The occurrence of clusters of two or more cases of pneumonia in HCW in the same hospital unit appears to be an uncommon event, and thus the alert system proposed is not likely to result in large numbers of false positive alerts. However, it may be difficult to implement this alert system in countries where clinical data on sickness absences are not routinely collected, and alternative mechanisms should be considered.

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Economic Burden of Pneumonia in an Employed Population

Cited by 34 publications

References 10 publications

A population-based study of the costs of care for community-acquired pneumonia

A population-based study of the costs of care for community-acquired pneumonia

Costs and health care resource utilization among chronic obstructive pulmonary disease patients with newly acquired pneumonia

Clustered Cases of Pneumonia among Healthcare Workers over a 1-year Period in Three Italian Hospitals: Applying the WHO SARS Alert

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