老年患者社区获得性肺炎的经济负担:日本视角

IF 8.5 Q1 RESPIRATORY SYSTEM
Pneumonia Pub Date : 2017-12-05 eCollection Date: 2017-01-01 DOI:10.1186/s41479-017-0042-1
Keiko Konomura, Hideaki Nagai, Manabu Akazawa
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引用次数: 40

摘要

背景:本研究旨在评估日本老年患者社区获得性肺炎(CAP)的经济负担。此外,本研究还评估了总治疗费用与CAP危险因素之间的关系。方法:检索2014年6月1日至2015年5月31日期间患有肺炎(ICD-10代码:J12-J18)并使用抗生素处方的老年患者(≥65岁)的行政数据库。计算门诊和住院CAP发作的全因总医疗费用。结果:本研究评估了29,619例CAP患者的数据,这些患者经历了14,450次门诊CAP发作和/或20,314次住院CAP发作。门诊组和住院组的平均年龄分别为77.5±8.0岁和81.5±8.2岁。治疗费用中位数为门诊每次346美元(四分位数范围:195-551美元),住院每次4851美元(四分位数范围:3313-7669美元)。更严重的病例增加了治疗医院的治疗费用。男性、糖尿病、慢性阻塞性肺病和肝功能障碍与总治疗费用增加相关,而痴呆、透析和风湿病与治疗CAP发作的高费用相关。结论:减少轻度CAP的住院次数和重度CAP的发生率可降低CAP的经济负担。因此,对于有相关危险因素的患者,如男性、年龄较大、糖尿病、慢性阻塞性肺疾病、肝功能障碍、风湿病、痴呆、透析等,建议进行预防性保健(如口腔卫生或肺炎球菌疫苗接种)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Economic burden of community-acquired pneumonia among elderly patients: a Japanese perspective.

Economic burden of community-acquired pneumonia among elderly patients: a Japanese perspective.

Economic burden of community-acquired pneumonia among elderly patients: a Japanese perspective.

Economic burden of community-acquired pneumonia among elderly patients: a Japanese perspective.

Background: This study aimed to estimate the economic burden of community-acquired pneumonia (CAP) among elderly patients in Japan. In addition, the study evaluated the relationship between total treatment cost and CAP risk factors.

Methods: An administrative database was searched for elderly patients (≥ 65 years old) who had pneumonia (ICD-10 code: J12-J18) and an antibiotic prescription between 1 June 2014 and 31 May 2015. The all-cause total healthcare costs of outpatient and inpatient CAP episodes were calculated.

Results: This study evaluated data from 29,619 patients with CAP who experienced 14,450 outpatient CAP episodes and/or 20,314 inpatient CAP episodes. The mean ages were 77.5 ± 8.0 years and 81.5 ± 8.2 years among the outpatient and inpatient groups, respectively. The median treatment costs were US$346 (interquartile range: $195-551) per outpatient episode and US$4851 (interquartile range: $3313-7669) per inpatient episode. More severe cases had increased treatment costs at the treating hospitals. Male sex, diabetes, chronic obstructive pulmonary disease, and liver dysfunction were associated with increased total treatment costs, while dementia, dialysis, and rheumatism were associated with high costs of treating a CAP episode.

Conclusions: The economic burden of CAP might be decreased by reducing the number of hospitalizations for mild CAP and the incidence of severe CAP. Therefore, preventative care (e.g. oral hygiene or pneumococcus vaccination) is recommended for patients with related risk factors, such as male sex, older age, diabetes, chronic obstructive pulmonary disease, liver dysfunction, rheumatism, dementia, or dialysis.

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来源期刊
Pneumonia
Pneumonia RESPIRATORY SYSTEM-
自引率
1.50%
发文量
7
审稿时长
11 weeks
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