Hospital Admissions for Pneumonia in Spain

Monge, Vicente; González, Antonio

doi:10.1007/s15010-001-0024-2

Cited by 26 publications

(17 citation statements)

References 24 publications

(27 reference statements)

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“…In Spain, MONGE and co-workers [17,18] recorded 53,000 annual hospital admissions due to CAP, with an annual healthcare cost of ,J115 million. In the present study, the documented costs were slightly higher than those reported in the national and European literature.…”

Section: Discussionmentioning

confidence: 99%

Determinants of hospital costs in community-acquired pneumonia

Reyes¹,

Martínez²,

Valles³

et al. 2008

European Respiratory Journal

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Community-acquired pneumonia (CAP) has a high incidence and involves an important consumption of healthcare resources. The present authors analysed the influence of comorbidity, initial severity and complications upon the direct costs associated with hospitalised CAP patients.Direct hospitalisation costs (room cost, treatment, laboratory and diagnostic tests) were assessed in a prospective, observational study of 271 patients admitted to a hospital ward due to CAP.The mean¡SD patient age was 70¡15 yrs. The mortality rate was 11.1%. Complications were found in 72.3% and comorbidities in 74.9%. The median (interquartile range) total cost was J1,683 (J1,291-2,471) and the component costs were: room cost J1,286 (J857-1,714); laboratory tests J212 (J171-272); treatment J187 (J114-304); and diagnostic procedures J58 (J29-122). Complications and higher Pneumonia Severity Index increased the costs, but age and comorbidity did not. A logistic regression analysis to predict high cost (.J1,683) showed that infectious (odds ratio 6.8, 95% confidence interval 1.3-36), digestive (5.9 (1.5-22.8)), pulmonary (2.6 (1.4-4.7)) and other complications (3.9 (1.8-8.4)) were independent risk factors, as were previous hospitalisation (2.3 (1.2-4.3)) and hypoalbuminaemia (2 (1.1-3.6)).Complications, hypoalbuminaemia and previous hospitalisation were the main determinants of high direct costs of hospitalisation due to community-acquired pneumonia. Neither age nor comorbidities were independently associated with cost.

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Section: Discussionmentioning

confidence: 99%

Determinants of hospital costs in community-acquired pneumonia

Reyes¹,

Martínez²,

Valles³

et al. 2008

European Respiratory Journal

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“…The patients studied were identified through a search of data compiled by the Spanish national surveillance system for hospital data (Conjunto Minimo Basico de Datos), managed by the Spanish Ministry of Health [9]. This system uses clinical codes from The International Classification of Diseases , 9th Revision , Clinical Modification: ICD‐9‐CM [10], and covers all 32 public hospitals in Andalusia, an autonomous region with a population of 7 314 644 in southern Spain.…”

Section: Distribution Of Pneumocystosis Cases By Age Gender and Hiv mentioning

confidence: 99%

Epidemiology of Pneumocystis carinii pneumonia in southern Spain

Calderón

Varela

Medrano

et al. 2004

Clinical Microbiology and Infection

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In order to investigate the impact of Pneumocystis carinii infection in southern Spain following the introduction of highly active anti-retroviral therapy (HAART), all cases of pneumocystosis between 1998 and 1999 were identified from data compiled by the national surveillance system. In total, 498 cases of pneumocystosis were recorded, of which 87% involved HIV-positive patients. The mean age, length of hospital stay and mortality were higher for HIV-negative patients. There was a higher number of cases in winter. Despite HAART implementation, pneumocystosis remains a significant health problem for both HIV-positive and HIV-negative patients.

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“…C ommunity-acquired pneumonia (CAP) is a common illness in Canada, with an annual incidence of 12 cases per 1000 adults per year, in which approximately 15% of cases require admission to a hospital for treatment (1,2). Pneumonia is the infectious disease with the highest health care costs (3,4). In Alberta, CAP results in an annual hospitalization rate of four cases per 1000 adults and accounts for 8500 annual hospital discharges at a cost of more than $40 million per year (5).…”

mentioning

confidence: 99%

Factors Associated with Length of Stay in Hospital for Suspected Community-Acquired Pneumonia

Huang

Hooper

Marrie

2006

Canadian Respiratory Journal

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JQ Huang, PM Hooper, TJ Marrie. Factors associated with length of stay in hospital for suspected community-acquired pneumonia. Can Respir J 2006;13(6):317-324.OBJECTIVE: To determine factors associated with the length of stay (LOS) for patients with suspected community-acquired pneumonia (CAP) who required hospitalization for treatment. STUDY DESIGN: The authors studied a population-based prospective cohort of 2757 adults with suspected CAP who were admitted over a two-year period. Logistic regression, multiple linear regression, and classification and regression trees were used to determine the factors associated with LOS. SETTING: The study was conducted in two community and tertiary care hospitals, two community and secondary care hospitals, and two community hospitals in the Capital Health Region of Edmonton, Alberta. RESULTS: Symptoms such as sweats, shaking chills and wheezing were associated with an LOS of seven days or shorter, whereas weight loss, functional impairment, heart, renal or neoplastic diseases and time to first dose of antibiotic were predictive of an LOS greater than seven days. Regression tree analysis indicated that rapid achievement of physiological stability was associated with a shorter LOS. The use of an indwelling urinary catheter was found to be an important determinant of LOS. CONCLUSIONS: The present study found several new associations with increased LOS in patients with CAP, including functional status, time to receipt of first dose of antibiotic therapy, use of certain antibiotics, presence of a urinary catheter and the importance of time to physiological stability. An intervention targeting avoidance of urinary catheters may be associated with a shorter LOS. LIEU : L'étude a été menée dans deux hôpitaux généraux et tertiaires, deux hôpitaux généraux et secondaires et deux hôpitaux généraux de la région de la capitale d'Edmonton, en Alberta. RÉSULTATS : Des symptômes comme la transpiration, les frissons et le wheezing s'associaient à une DH de sept jours ou moins, tandis que la perte de poids, l'atteinte fonctionnelle, une maladie cardiaque, rénale ou néoplastique et le délai avant la première dose d'antibiotiques étaient prédictifs d'une DH de plus de sept jours. D'après l'analyse des arbres de régression, l'obtention rapide d'une stabilité physiologique favorisait une réduction de la DH. Le recours à une sonde urinaire à demeure constituait un important déterminant de la DH. CONCLUSIONS : La présente étude a permis d'observer plusieurs nouvelles associations à une augmentation de la DH chez les patients atteints d'une POEH, y compris l'état fonctionnel, le délai avant la première dose de l'antibiothérapie, l'utilisation de certains antibiotiques, la présence d'un cathéter urinaire et l'importance du délai avant la stabilité physiologique. Une intervention visant à éviter les cathéters urinaires pourrait favoriser une réduction de la DH.

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Hospital Admissions for Pneumonia in Spain

Abstract: Each year more than 50,000 persons were hospitalized for pneumonia and approximately 4,000 died.

Cited by 26 publications

References 24 publications

Determinants of hospital costs in community-acquired pneumonia

Determinants of hospital costs in community-acquired pneumonia

Epidemiology of Pneumocystis carinii pneumonia in southern Spain

Factors Associated with Length of Stay in Hospital for Suspected Community-Acquired Pneumonia

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