Table 1.
Total patients
|
Patients with pneumonia
|
Patients without pneumonia
|
||||
---|---|---|---|---|---|---|
n | % | n | % | n | % | |
Sample size | 135,445 | 28,750 | 106,695 | |||
Follow up period (days)c | ||||||
Mean (SD) | 669 (502) | 311 (377) | 765 (487) | |||
Median (min–max) | 573 (2–1826) | 153 (2–1815) | 675 (61–1826) | |||
Year of COPD diagnosis | ||||||
2006 | 35,131 | 25.9 | 9,323 | 32.4 | 25,808 | 24.2 |
2007 | 33,332 | 24.6 | 7,824 | 27.2 | 25,508 | 23.9 |
2008 | 28,017 | 20.7 | 5,632 | 19.6 | 22,385 | 21.0 |
2009 | 24,166 | 17.8 | 3,950 | 13.7 | 20,216 | 18.9 |
2010 | 14,799 | 10.9 | 2,021 | 7.0 | 12,778 | 12.0 |
Age | ||||||
Mean (SD) | 66.99 (12.66) | 72.17 (12.70) | 65.60 (12.28) | |||
Median (min–max) | 65 (45–111) | 74 (45–111) | 63 (45–104) | |||
Sex | ||||||
Male | 70,274 | 51.9 | 14,967 | 52.1 | 55,307 | 51.8 |
Region | ||||||
North East | 14,540 | 10.7 | 2,894 | 10.1 | 11,646 | 10.9 |
North Central | 48,361 | 35.7 | 11,382 | 39.6 | 36,979 | 34.7 |
South | 50,022 | 36.9 | 9,962 | 34.7 | 40,060 | 37.5 |
West | 22,188 | 16.4 | 4,449 | 15.5 | 17,739 | 16.6 |
Missing | 334 | 0.2 | 63 | 0.2 | 271 | 0.3 |
Insurance type | ||||||
Fee for service | 120,319 | 88.8 | 26,321 | 91.6 | 93,998 | 88.1 |
Non fee or service | 15,126 | 11.2 | 2,429 | 8.4 | 12,697 | 11.9 |
Drug use | ||||||
Short-acting β2-agonists | 8,107 | 6.0 | 1,981 | 6.9 | 6,126 | 5.7 |
Long-acting β2-agonists | 401 | 0.3 | 108 | 0.4 | 293 | 0.3 |
Short-acting anticholinergics | 1,420 | 1.0 | 461 | 1.6 | 959 | 0.9 |
Long-acting anticholinergics | 2,717 | 2.0 | 542 | 1.9 | 2,175 | 2.0 |
Methylxanthines | 3,332 | 2.5 | 923 | 3.2 | 2,409 | 2.3 |
Systemic glucocorticoids | 396 | 0.3 | 106 | 0.4 | 290 | 0.3 |
Mast-cell stabilizers | 35 | 0.0 | 7 | 0.0 | 28 | 0.0 |
Leukotriene modifiers | 2,159 | 1.6 | 467 | 1.6 | 1,692 | 1.6 |
Antibiotics | 65,470 | 48.3 | 14,948 | 52.0 | 50,522 | 47.4 |
Charlson comorbidity score | ||||||
Mean (STD) | 1.02 (1.62) | 1.40 (1.85) | 0.92 (1.53) | |||
Median (min–max) | 0 (0–21) | 1 (0–18) | 0 (0–21) | |||
Comorbidity | ||||||
Diabetes | 27,691 | 20.4 | 7,186 | 25.0 | 20,505 | 19.2 |
Pulmonary circulation disorders | 2,550 | 1.9 | 679 | 2.4 | 1871 | 1.8 |
Hypertension | 56,729 | 41.9 | 13,035 | 45.3 | 43,694 | 41.0 |
Chronic pulmonary disease | 192 | 0.1 | 40 | 0.1 | 152 | 0.1 |
Alcohol abuse | 1,198 | 0.9 | 291 | 1.0 | 907 | 0.9 |
Drug abuse | 567 | 0.4 | 152 | 0.5 | 415 | 0.4 |
Congestive heart failure | 12,820 | 9.5 | 4,543 | 15.8 | 8,277 | 7.8 |
Valvular disease | 12,055 | 8.9 | 3,364 | 11.7 | 8,691 | 8.1 |
Peripheral vascular disease | 13,515 | 10.0 | 3,969 | 13.8 | 9,546 | 8.9 |
Chronic peptic ulcer | 147 | 0.1 | 43 | 0.1 | 104 | 0.1 |
Liver disease | 2,056 | 1.5 | 455 | 1.6 | 1,601 | 1.5 |
Health care resource utilization | ||||||
All-cause hospitalization | 28,221 | 20.8 | 8,714 | 30.3 | 19,507 | 18.3 |
All-cause ED visit | 41,584 | 30.7 | 11,669 | 40.6 | 29,915 | 28.0 |
Notes:
Baseline = 12 months prior to date of first diagnosis of COPD
all variables were statistically different between patients with and without pneumonia at P < 0.001. Chi-square test for categorical variables and – test for continuous variables
for pneumonia onset patients, follow up is from the date of COPD diagnosis to date of onset of pneumonia. For nonpneumonia onset patients, follow up is from the date of COPD diagnosis to end of enrollment or December 31, 2010.
Abbreviations: COPD, chronic obstructive pulmonary disease; ED, emergency department; SD, standard deviation; STD, sexually transmitted disease.