Increasing Hospital Admissions for Pneumonia, England

Pneumonia is an important cause of illness and death in England. To describe trends in pneumonia hospitalizations, we extracted information on all episodes of pneumonia that occurred from April 1997 through March 2005 recorded in the Hospital Episode Statistics (HES) database by searching for Intern...

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Bibliographic Details
Published in:Emerging infectious diseases Vol. 14; no. 5; pp. 727 - 733
Main Authors: Trotter, Caroline L., Stuart, James M., George, Robert, Miller, Elizabeth
Format: Journal Article
Language:English
Published: United States U.S. National Center for Infectious Diseases 01.05.2008
Centers for Disease Control and Prevention
Subjects:
Admission and discharge
Aged
Aged, 80 and over
Bacterial pneumonia
Care and treatment
Community-Acquired Infections - diagnosis
Community-Acquired Infections - epidemiology
Community-Acquired Infections - microbiology
Community-Acquired Infections - mortality
Diagnosis
England
England - epidemiology
epidemiology
Female
hospital
Hospitalization - statistics & numerical data
Hospitalization - trends
Hospitals
Humans
Incidence
Length of Stay
Male
patient admission
Pneumonia
Pneumonia, Bacterial - diagnosis
Pneumonia, Bacterial - epidemiology
Pneumonia, Bacterial - microbiology
Pneumonia, Bacterial - mortality
Risk factors
trends
England
United Kingdom
ISSN:1080-6040, 1080-6059, 1080-6059
Online Access:Get full text
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Summary:Pneumonia is an important cause of illness and death in England. To describe trends in pneumonia hospitalizations, we extracted information on all episodes of pneumonia that occurred from April 1997 through March 2005 recorded in the Hospital Episode Statistics (HES) database by searching for International Classification of Diseases 10th revision codes J12-J18 in any diagnostic field. The age-standardized incidence of hospitalization with a primary diagnosis of pneumonia increased by 34% from 1.48 to 1.98 per 1,000 population between 1997-98 and 2004-05. The increase was more marked in older adults, in whom the mortality rate was also highest. The proportion of patients with recorded coexisting conditions (defined by using the Charlson Comorbidity Index score) increased over the study period. The rise in pneumonia hospital admissions was not fully explained by demographic change or increasing coexisting conditions. It may be attributable to other population factors, changes in HES coding, changes to health service organization, other biologic phenomenon, or a combination of these effects.
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ISSN:1080-6040
1080-6059
1080-6059
DOI:10.3201/eid1405.071011