Trends in Hospitalizations for Pneumonia Among Persons Aged 65 Years or Older in the United States, 1988-2002

摘要: ContextPneumonia 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.ObjectivesTo examine in hospitalizations for pneumonia older compare characteristics, outcomes, comorbid diagnoses.Design, Setting, PatientsData from 1988 through 2002 on diagnoses patients 74 years, 75 84 85 the National Hospital Discharge Survey.Main Outcome MeasuresHospitalization rates by first-listed any-listed discharge codes pneumonia; proportions of reporting 3 groups (65-74 75-84 ≥85 years).ResultsHospitalization both increased 20% 1988-1990 2000-2002 (P = .01) (P<.001). Rates hospitalization were 2-fold higher (51 per 1000 population code 95% confidence interval [CI], 46-55 population) than (26 population; CI, 24-28 population), but did not significantly increase 2000-2002. The proportion diagnosed with a chronic cardiac disease, pulmonary diabetes mellitus 66% (SE, 1.0%) 77% 0.8%) risk death during compared hospital stay 10 other most frequent was 1.5 (95% 1.4-1.7) remained constant 2000-2002.ConclusionsHospitalization US adults 64 past 15 years. Among those older, at least 1 20 hospitalized each year due pneumonia. Concomitantly, diseases has increased. Efforts prevent should include reducing preventable conditions improving vaccine effectiveness vaccination programs elderly persons.