Trends in hospitalizations for pneumonia among persons aged 65 years or older in the United States, 1988-2002
Trends in hospitalizations for pneumonia among persons aged 65 years or older in the United States, 1988-2002
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DOI：
10.1001/jama.294.21.2712
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发表时间：
2005-12-07
影响因子：
120.7
通讯作者：
Anderson, LJ
中科院分区：
文献类型：
--
作者：
Fry, AM;Shay, DK;Anderson, LJ
背景肺炎在65岁或以上人群中引起显著的死亡率和发病率。然而，很少有研究探讨了根据年龄组的趋势，这可能会影响干预strategy. ObjectiveTo研究65岁或以上人群中因肺炎住院的趋势，并比较其特征、结局和共病诊断。75 - 84岁和85岁或以上的患者。主要结果测量按首列和任意列出的肺炎出院代码列出的住院率; 3个年龄组报告共病诊断的住院比例（65-74岁，75-84岁，结果从1988-1990年到2000年，按首列和任意列出的出院代码计算的肺炎住院率增加了20%。2002年65 - 74岁患者（P=.01）和75 - 84岁患者（P
Context Pneumonia causes significant mortality and morbidity among persons aged 65 years or older. However, few studies have explored trends according to age groups, which may affect intervention strategies.Objectives To examine trends in hospitalizations for pneumonia among persons aged 65 years or older and to compare characteristics, outcomes, and comorbid diagnoses.Design, Setting, and Patients Data from 1988 through 2002 on pneumonia and comorbid diagnoses among patients aged 65 to 74 years, 75 to 84 years, and 85 years or older from the National Hospital Discharge Survey.Main Outcome Measures Hospitalization rates by first-listed and any-listed discharge codes for pneumonia; proportions of hospitalizations reporting comorbid diagnoses for the 3 age groups (65-74 years, 75-84 years, >= 85 years).Results Hospitalization rates by both first-listed and any-listed discharge codes for pneumonia increased by 20% from 1988-1990 to 2000-2002 for patients aged 65 to 74 years (P=.01) and for patients aged 75 to 84 years (P