Erratum to: Hospitalization costs for community-acquired pneumonia in Dutch elderly: an observational study

Vissink, Conrad E.; Huijts, Susanne M.; Wit, G. Ardine de; Bonten, Marc J. M.; Mangen, Marie-Josée J.

doi:10.1186/s12879-016-2015-z

Cited by 2 publications

(4 citation statements)

References 2 publications

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“…30 In a study by Vissink et al among Dutch elderly, being male, younger and higher socioeconomic status were associated with lower costs. 31 In our study, people aged more than 75 years, men, those with comorbidities, those seeking care in outpatient or inpatient, with pneumonia had higher costs. Similar results for community-acquired pneumonia have been reported before.…”

Section: Bmj Public Healthmentioning

confidence: 53%

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Cost of acute respiratory illness episode and its determinants among community-dwelling older adults: a four-site cohort study from India

Krishnan,

Shekhawat,

Ortega-Sanchez

et al. 2023

bmjph

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IntroductionAdvocacy for the provision of public health resources, including vaccine for the prevention of acute respiratory illnesses (ARIs) among older adults in India, needs evidence on costs and benefits. Using a cohort of community-dwelling adults aged 60 years and older in India, we estimated the cost of ARI episode and its determinants.MethodsWe enrolled 6016 participants in Ballabgarh, Chennai, Kolkata and Pune from July 2018 to March 2020. They were followed up weekly to identify ARI and classified them as acute upper respiratory illness (AURI) or pneumonia based on clinical features based on British Thoracic Society guidelines. All pneumonia and 20% of AURI cases were asked about the cost incurred on medical consultation, investigation, medications, transportation, food and lodging. The cost of services at public facilities was supplemented by WHO-Choosing Interventions that are Cost-Effective(CHOICE) estimates for 2019. Indirect costs incurred by the affected participant and their caregivers were estimated using human capital approach. We used generalised linear model with log link and gamma family to identify the average marginal effect of key determinants of the total cost of ARI.ResultsWe included 2648 AURI and 1081 pneumonia episodes. Only 47% (range 36%–60%) of the participants with pneumonia sought care. The mean cost of AURI episode was US$13.9, while that of pneumonia episode was US$25.6, with indirect costs comprising three-fourths of the total. The cost was higher among older men by US$3.4 (95% CI: 1.4 to 5.3), those with comorbidities by US$4.3 (95% CI: 2.8 to 5.7) and those who sought care by US$17.2 (95% CI: 15.1 to 19.2) but not by influenza status. The mean per capita annual cost of respiratory illness was US$29.5.ConclusionGiven the high community disease and cost burden of ARI, intensifying public health interventions to prevent and mitigate ARI among this fast-growing older adult population in India is warranted.

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Section: Bmj Public Healthmentioning

confidence: 53%

“… 30 In a study by Vissink et al among Dutch elderly, being male, younger and higher socioeconomic status were associated with lower costs. 31 …”

Section: Discussionmentioning

confidence: 99%

Cost of acute respiratory illness episode and its determinants among community-dwelling older adults: a four-site cohort study from India

Krishnan,

Shekhawat,

Ortega-Sanchez

et al. 2023

bmjph

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“…In that analysis, mortality at 30 days was 13%, which compares well to the 13% observed herein (in-hospital deaths). In a Dutch study, in-hospital mortality from CAP in patients aged ≥65 years was 11.3% [ 11 ]. Similar to our data, the mean duration of hospitalization was 12.1 days [ 11 ] compared to a median of 12.3 in our study.…”

Section: Discussionmentioning

confidence: 99%

“…In a Dutch study, in-hospital mortality from CAP in patients aged ≥65 years was 11.3% [ 11 ]. Similar to our data, the mean duration of hospitalization was 12.1 days [ 11 ] compared to a median of 12.3 in our study. As expected, the incidence of hospitalizations for pneumonia also increased with age as seen herein, with a rate of 69 per 100,000 in those 18–24 years and 3951 per 100,000 in those ≥85 years [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Increased Risk of Hospitalization for Pneumonia in Italian Adults from 2010 to 2019: Scientific Evidence for a Call to Action

Amodio

Vitale

d’Angela³

et al. 2023

Vaccines

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Background: Understanding trends in pneumonia-associated hospitalizations can help to quantify the burden of disease and identify risk conditions and at-risk populations. This study evaluated characteristics of hospitalizations due to pneumonia that occurred in Italy in a 10-year period from 2010 to 2019. Methods: All hospitalizations with a principal or secondary diagnosis of pneumonia over the 10-year period were included, which were identified by hospital discharges for all-cause pneumonia and pneumococcal pneumonia in the anonymized hospital discharge database of the Italian Health Ministry. Results: A total of 2,481,213 patients were hospitalized for pneumonia between 2010 and 2019; patients aged 75–86 years accounted for 30.1% of hospitalizations. Most hospitalizations (88.1%) had an unspecified pneumonia discharge code. In-hospital death was recorded in 13.0% of cases. The cumulative cost for pneumonia hospitalizations of the 10-year period were EUR 11,303,461,591. Over the observation period, the incidence rate for hospitalized all-cause pneumonia in any ages increased from 100 per 100,000 in 2010 to over 160 cases per 100,000 per year in 2019 (p < 0.001). Overall, there was a significant increase in annual percent changes in hospitalization rates (+3.47 per year), in-hospital death (+4.6% per year), and costs (+3.95% per year) over the 10-year period. Conclusions: Our analysis suggests that hospitalizations for pneumonia are increasing over time in almost all age groups, especially in the elderly. Given the substantial burden of pneumonia in terms of mortality, healthcare resources, and economic costs, greater public health efforts should thus be made to promote vaccinations against influenza and pneumococcus, particularly in high-risk groups.

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Erratum to: Hospitalization costs for community-acquired pneumonia in Dutch elderly: an observational study

Cited by 2 publications

References 2 publications

Cost of acute respiratory illness episode and its determinants among community-dwelling older adults: a four-site cohort study from India

Cost of acute respiratory illness episode and its determinants among community-dwelling older adults: a four-site cohort study from India

Increased Risk of Hospitalization for Pneumonia in Italian Adults from 2010 to 2019: Scientific Evidence for a Call to Action

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