Death rates among patients hospitalized with community-acquired pneumonia: A reexamination with data from three states

J.S. Markowitz, S. Pashko, E.M. Gutterman, W.T. Linde-Zwirble and R. Newbold

American Journal of Public Health, 1996, vol. 86, issue 8, 1152-1154

Abstract: Objectives. Death rates for community-acquired pneumonia based on relatively small-scale, published studies tend to exceed 15% to 20%. This study reexamined these estimates by using very large, population-based databases. Methods. Death rates from 1993 associated with community-acquired pneumonia were reexamined with hospital discharge data from all of Washington, Illinois, and Florida. Results. These death rates were substantially lower (7.0%, 8.1%, and 9.7%, respectively) than what appears in the literature. Significant risk factors for dying were being 65 years of age or older (odds ratio [OR] = 2.9), being positive for human immunodeficiency virus (OR = 2.9), and having a high severity of illness (OR = 7.1). Conclusion. Sampling bias ass elated with selection for hospital admissions explain the discrepancy between previous and this study's results.

Date: 1996
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:1996:86:8:1152-1154_8

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