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
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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