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Incidence, Outcomes and Sex-Related Disparities in Pneumonia: A Matched-Pair Analysis with Data from Spanish Hospitals (2016–2019)

(1) Background: the purpose of this study is to analyze the incidence and in-hospital mortality (IHM) of community-acquired pneumonia (CAP) needing hospital admission and hospital-acquired pneumonia (HAP) in Spain (2016–2019). (2) Methods: using the Spanish Register of Specialized Care-Basic Minimum...

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Autores principales: de Miguel-Yanes, Jose M., Lopez-de-Andres, Ana, Jiménez-Garcia, Rodrigo, Hernandez-Barrera, Valentin, de Miguel-Diez, Javier, Carabantes-Alarcon, David, Perez-Farinos, Napoleon, Wärnberg, Julia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8509552/
https://www.ncbi.nlm.nih.gov/pubmed/34640357
http://dx.doi.org/10.3390/jcm10194339
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author de Miguel-Yanes, Jose M.
Lopez-de-Andres, Ana
Jiménez-Garcia, Rodrigo
Hernandez-Barrera, Valentin
de Miguel-Diez, Javier
Carabantes-Alarcon, David
Perez-Farinos, Napoleon
Wärnberg, Julia
author_facet de Miguel-Yanes, Jose M.
Lopez-de-Andres, Ana
Jiménez-Garcia, Rodrigo
Hernandez-Barrera, Valentin
de Miguel-Diez, Javier
Carabantes-Alarcon, David
Perez-Farinos, Napoleon
Wärnberg, Julia
author_sort de Miguel-Yanes, Jose M.
collection PubMed
description (1) Background: the purpose of this study is to analyze the incidence and in-hospital mortality (IHM) of community-acquired pneumonia (CAP) needing hospital admission and hospital-acquired pneumonia (HAP) in Spain (2016–2019). (2) Methods: using the Spanish Register of Specialized Care-Basic Minimum Database, we estimated the incidence of CAP and HAP. We matched each woman with a man with an identical age, according to comorbidities. (3) Results: we analyzed 518,838 cases of CAP and 38,705 cases of HAP, and 5192 ventilator-associated HAPs (13.4%). The incidence of CAP increased over time in both men (from 384.5 to 449.8 cases/105 population) and women (from 244.9 to 301.2 cases/105 population). Men showed a 47% higher adjusted incidence of CAP than women. The incidence of HAP increased over time in both men (from 302.3 to 342.2 cases/105 population) and women (from 139.2 to 167.6 cases/105 population). Men showed a 98% higher adjusted incidence of HAP than women. IHM was higher in men admitted for CAP than in women (12.9% vs. 12.2%; p < 0.001), but not in men who developed HAP (28.9% vs. 28.0%; p = 0.107). Men admitted for CAP (OR: 1.13; 95% CI: 1.10–1.15) and men who developed HAP (OR: 1.05; 95% CI: 1.01–1.10) had higher IHM than women. (4) Conclusions: men had higher incidence rates of CAP and HAP than women. Men admitted for CAP and men who developed HAP had higher IHM than women.
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spelling pubmed-85095522021-10-13 Incidence, Outcomes and Sex-Related Disparities in Pneumonia: A Matched-Pair Analysis with Data from Spanish Hospitals (2016–2019) de Miguel-Yanes, Jose M. Lopez-de-Andres, Ana Jiménez-Garcia, Rodrigo Hernandez-Barrera, Valentin de Miguel-Diez, Javier Carabantes-Alarcon, David Perez-Farinos, Napoleon Wärnberg, Julia J Clin Med Article (1) Background: the purpose of this study is to analyze the incidence and in-hospital mortality (IHM) of community-acquired pneumonia (CAP) needing hospital admission and hospital-acquired pneumonia (HAP) in Spain (2016–2019). (2) Methods: using the Spanish Register of Specialized Care-Basic Minimum Database, we estimated the incidence of CAP and HAP. We matched each woman with a man with an identical age, according to comorbidities. (3) Results: we analyzed 518,838 cases of CAP and 38,705 cases of HAP, and 5192 ventilator-associated HAPs (13.4%). The incidence of CAP increased over time in both men (from 384.5 to 449.8 cases/105 population) and women (from 244.9 to 301.2 cases/105 population). Men showed a 47% higher adjusted incidence of CAP than women. The incidence of HAP increased over time in both men (from 302.3 to 342.2 cases/105 population) and women (from 139.2 to 167.6 cases/105 population). Men showed a 98% higher adjusted incidence of HAP than women. IHM was higher in men admitted for CAP than in women (12.9% vs. 12.2%; p < 0.001), but not in men who developed HAP (28.9% vs. 28.0%; p = 0.107). Men admitted for CAP (OR: 1.13; 95% CI: 1.10–1.15) and men who developed HAP (OR: 1.05; 95% CI: 1.01–1.10) had higher IHM than women. (4) Conclusions: men had higher incidence rates of CAP and HAP than women. Men admitted for CAP and men who developed HAP had higher IHM than women. MDPI 2021-09-23 /pmc/articles/PMC8509552/ /pubmed/34640357 http://dx.doi.org/10.3390/jcm10194339 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
de Miguel-Yanes, Jose M.
Lopez-de-Andres, Ana
Jiménez-Garcia, Rodrigo
Hernandez-Barrera, Valentin
de Miguel-Diez, Javier
Carabantes-Alarcon, David
Perez-Farinos, Napoleon
Wärnberg, Julia
Incidence, Outcomes and Sex-Related Disparities in Pneumonia: A Matched-Pair Analysis with Data from Spanish Hospitals (2016–2019)
title Incidence, Outcomes and Sex-Related Disparities in Pneumonia: A Matched-Pair Analysis with Data from Spanish Hospitals (2016–2019)
title_full Incidence, Outcomes and Sex-Related Disparities in Pneumonia: A Matched-Pair Analysis with Data from Spanish Hospitals (2016–2019)
title_fullStr Incidence, Outcomes and Sex-Related Disparities in Pneumonia: A Matched-Pair Analysis with Data from Spanish Hospitals (2016–2019)
title_full_unstemmed Incidence, Outcomes and Sex-Related Disparities in Pneumonia: A Matched-Pair Analysis with Data from Spanish Hospitals (2016–2019)
title_short Incidence, Outcomes and Sex-Related Disparities in Pneumonia: A Matched-Pair Analysis with Data from Spanish Hospitals (2016–2019)
title_sort incidence, outcomes and sex-related disparities in pneumonia: a matched-pair analysis with data from spanish hospitals (2016–2019)
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8509552/
https://www.ncbi.nlm.nih.gov/pubmed/34640357
http://dx.doi.org/10.3390/jcm10194339
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