Rates and risk factors associated with hospitalization for pneumonia with ICU admission among adults
Autor: | Paul Gargiullo, Steven J. Jacobsen, Eric Weintraub, Alicia M. Fry, Allison L. Naleway, Jufu Chen, James D. Nordin, Lisa A. Jackson, Jason M. Glanz, Nicola P. Klein, Aaron D. Storms |
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Rok vydání: | 2017 |
Předmět: |
Male
Comorbidity Cohort Studies 0302 clinical medicine Risk Factors Electronic Health Records 030212 general & internal medicine Aged 80 and over education.field_of_study Intensive care units Medical record Middle Aged Hospitalization Cohort Female Cohort study Research Article Pulmonary and Respiratory Medicine Adult medicine.medical_specialty Adolescent Population Sepsis 03 medical and health sciences Young Adult Age Distribution International Classification of Diseases Intensive care Rates medicine Humans Pneumonia/epidemiology Sex Distribution education Aged lcsh:RC705-779 business.industry lcsh:Diseases of the respiratory system Pneumonia medicine.disease United States respiratory tract diseases Logistic Models 030228 respiratory system Emergency medicine Multivariate Analysis Trends business |
Zdroj: | BMC Pulmonary Medicine BMC Pulmonary Medicine, Vol 17, Iss 1, Pp 1-9 (2017) |
ISSN: | 1471-2466 |
Popis: | Background Pneumonia poses a significant burden to the U.S. health-care system. However, there are few data focusing on severe pneumonia, particularly cases of pneumonia associated with specialized care in intensive care units (ICU). Methods We used administrative and electronic medical record data from six integrated health care systems to estimate rates of pneumonia hospitalizations with ICU admissions among adults during 2006 through 2010. Pneumonia hospitalization was defined as either a primary discharge diagnosis of pneumonia or a primary discharge diagnosis of sepsis or respiratory failure with a secondary diagnosis of pneumonia in administrative data. ICU admissions were collected from internal electronic medical records from each system. Comorbidities were identified by ICD-9-CM codes coded during the current pneumonia hospitalization, as well as during medical visits that occurred during the year prior to the date of admission. Results We identified 119,537 adult hospitalizations meeting our definition for pneumonia. Approximately 19% of adult pneumonia hospitalizations had an ICU admission. The rate of pneumonia hospitalizations requiring ICU admission during the study period was 76 per 100,000 population/year; rates increased for each age-group with the highest rates among adults aged ≥85 years. Having a co-morbidity approximately doubled the risk of ICU admission in all age-groups. Conclusions Our study indicates a significant burden of pneumonia hospitalizations with an ICU admission among adults in our cohort during 2006 through 2010, especially older age-groups and persons with underlying medical conditions. These findings reinforce current strategies aimed to prevent pneumonia among adults. Electronic supplementary material The online version of this article (10.1186/s12890-017-0552-x) contains supplementary material, which is available to authorized users. |
Databáze: | OpenAIRE |
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