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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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
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Abstract	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.
AbstractList	This rise in recorded incidence from 2001 to 2005 was particularly marked among the elderly. 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. 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. 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.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.
Audience	Professional Academic
Author	Miller, Elizabeth Stuart, James M. George, Robert Trotter, Caroline L.
Author_xml	– sequence: 1 givenname: Caroline L. surname: Trotter fullname: Trotter, Caroline L. organization: University of Bristol, Bristol, UK – sequence: 2 givenname: James M. surname: Stuart fullname: Stuart, James M. organization: Health Protection Agency, Stonehouse, Gloucestershire, UK – sequence: 3 givenname: Robert surname: George fullname: George, Robert organization: Health Protection Agency Centre for Infections, London, UK – sequence: 4 givenname: Elizabeth surname: Miller fullname: Miller, Elizabeth organization: Health Protection Agency Centre for Infections, London, UK
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Snippet	Pneumonia is an important cause of illness and death in England. To describe trends in pneumonia hospitalizations, we extracted information on all episodes of... This rise in recorded incidence from 2001 to 2005 was particularly marked among the elderly. Pneumonia is an important cause of illness and death in England....
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SubjectTerms	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
Title	Increasing Hospital Admissions for Pneumonia, England
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