The hospitalization burden of all-cause pneumonia in China: a population-based study, 2009–2017
<p><strong>Background</strong></p> Pneumonia represents a public health problem of substantial health and economic burden. However, the evidence on the burden of adult pneumonia is limited in China. <p><strong>Methods</strong></p> The China Kadoorie B...
| Principais autores: | , , , , , , , , , , , , , , , , |
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| Outros Autores: | |
| Formato: | Journal article |
| Idioma: | English |
| Publicado em: |
Elsevier
2022
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| _version_ | 1826309222467371008 |
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| author | Hu, Y Han, Y Yu, C Guo, Y Pei, P Yang, L Chen, Y Du, H Sun, D Pang, Y Niu, W Burgess, S Hacker, A Chen, J Chen, Z Lv, J Li, L |
| author2 | China Kadoorie Biobank Collaborative Group |
| author_facet | China Kadoorie Biobank Collaborative Group Hu, Y Han, Y Yu, C Guo, Y Pei, P Yang, L Chen, Y Du, H Sun, D Pang, Y Niu, W Burgess, S Hacker, A Chen, J Chen, Z Lv, J Li, L |
| author_sort | Hu, Y |
| collection | OXFORD |
| description | <p><strong>Background</strong></p>
Pneumonia represents a public health problem of substantial health and economic burden. However, the evidence on the burden of adult pneumonia is limited in China.
<p><strong>Methods</strong></p>
The China Kadoorie Biobank recruited 512,725 participants aged 30–79 years from five urban and five rural areas during 2004–2008. The current analyses included 506,086 participants who were alive in 2009. Pneumonia hospitalizations were ascertained through the health insurance system until December 31, 2017. Generalized linear models were used to examine the secular trends and regional and population variations in pneumonia hospitalization rate, mean length of hospital stay (LOS), and 30-day case fatality rate (CFR).
<p><strong>Findings</strong></p>
A total of 27,879 participants with 36,567 pneumonia hospitalizations were identified with a mean follow-up time of 8·9 years. The unadjusted hospitalization rate was 8·4 (95% confidence interval [CI]: 8·3, 8·6) per 1000 person-years, with an increase of 15·5% annually from 4·2 (3·9, 4·4) in 2009 to 10·9 (10·6, 11·3) in 2017, after adjusting for age, sex, study area. The mean LOS was 8·8 (95% CI: 8·7, 8·9) days, with a slight decrease of 1·0% annually from 2009 to 2017. The average 30-day CFR remained practically unchanged at 2·4 (95% CI: 2·2, 2·5) deaths per 100 admissions. A clear seasonal pattern of pneumonia hospitalization rate was observed, and the hospitalization rate and CFR differed across regions and subpopulations of different ages and underlying conditions.
<p><strong>Interpretation</strong></p>
There was an increasing hospitalization burden of pneumonia in Chinese adults, especially for adults aged ≥60 years or those with underlying conditions.
<p><strong>Funding</strong></p>
The National Natural Science Foundation of China, the Kadoorie Charitable Foundation, the National Key R&D Program of China, the Chinese Ministry of Science and Technology. |
| first_indexed | 2024-03-07T07:30:55Z |
| format | Journal article |
| id | oxford-uuid:c003c622-24a5-4e47-9ffe-a6ba15e6e92b |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T07:30:55Z |
| publishDate | 2022 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:c003c622-24a5-4e47-9ffe-a6ba15e6e92b2023-01-20T09:53:05ZThe hospitalization burden of all-cause pneumonia in China: a population-based study, 2009–2017Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c003c622-24a5-4e47-9ffe-a6ba15e6e92bEnglishSymplectic ElementsElsevier2022Hu, YHan, YYu, CGuo, YPei, PYang, LChen, YDu, HSun, DPang, YNiu, WBurgess, SHacker, AChen, JChen, ZLv, JLi, LChina Kadoorie Biobank Collaborative Group<p><strong>Background</strong></p> Pneumonia represents a public health problem of substantial health and economic burden. However, the evidence on the burden of adult pneumonia is limited in China. <p><strong>Methods</strong></p> The China Kadoorie Biobank recruited 512,725 participants aged 30–79 years from five urban and five rural areas during 2004–2008. The current analyses included 506,086 participants who were alive in 2009. Pneumonia hospitalizations were ascertained through the health insurance system until December 31, 2017. Generalized linear models were used to examine the secular trends and regional and population variations in pneumonia hospitalization rate, mean length of hospital stay (LOS), and 30-day case fatality rate (CFR). <p><strong>Findings</strong></p> A total of 27,879 participants with 36,567 pneumonia hospitalizations were identified with a mean follow-up time of 8·9 years. The unadjusted hospitalization rate was 8·4 (95% confidence interval [CI]: 8·3, 8·6) per 1000 person-years, with an increase of 15·5% annually from 4·2 (3·9, 4·4) in 2009 to 10·9 (10·6, 11·3) in 2017, after adjusting for age, sex, study area. The mean LOS was 8·8 (95% CI: 8·7, 8·9) days, with a slight decrease of 1·0% annually from 2009 to 2017. The average 30-day CFR remained practically unchanged at 2·4 (95% CI: 2·2, 2·5) deaths per 100 admissions. A clear seasonal pattern of pneumonia hospitalization rate was observed, and the hospitalization rate and CFR differed across regions and subpopulations of different ages and underlying conditions. <p><strong>Interpretation</strong></p> There was an increasing hospitalization burden of pneumonia in Chinese adults, especially for adults aged ≥60 years or those with underlying conditions. <p><strong>Funding</strong></p> The National Natural Science Foundation of China, the Kadoorie Charitable Foundation, the National Key R&D Program of China, the Chinese Ministry of Science and Technology. |
| spellingShingle | Hu, Y Han, Y Yu, C Guo, Y Pei, P Yang, L Chen, Y Du, H Sun, D Pang, Y Niu, W Burgess, S Hacker, A Chen, J Chen, Z Lv, J Li, L The hospitalization burden of all-cause pneumonia in China: a population-based study, 2009–2017 |
| title | The hospitalization burden of all-cause pneumonia in China: a population-based study, 2009–2017 |
| title_full | The hospitalization burden of all-cause pneumonia in China: a population-based study, 2009–2017 |
| title_fullStr | The hospitalization burden of all-cause pneumonia in China: a population-based study, 2009–2017 |
| title_full_unstemmed | The hospitalization burden of all-cause pneumonia in China: a population-based study, 2009–2017 |
| title_short | The hospitalization burden of all-cause pneumonia in China: a population-based study, 2009–2017 |
| title_sort | hospitalization burden of all cause pneumonia in china a population based study 2009 2017 |
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