Increasing hospital admissions for pneumonia, England

CL Trotter, JM Stuart, R George, E Miller

Research output: Contribution to journalArticle (Academic Journal)peer-review

199 Citations (Scopus)

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.
Translated title of the contributionIncreasing hospital admissions for pneumonia, England
Original languageEnglish
Pages (from-to)727 - 733
Number of pages7
JournalEmerging Infectious Disease
Volume14
DOIs
Publication statusPublished - May 2005

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