Table 1. Characteristics of healthcare-associated pneumonia cases and non-cases collected in the ‘standard’ surveillance option, ECDC point prevalence survey in acute care hospitals, European Union/European Economic Areaa 2011–2012 (n = 215,537).
Characteristics | HAPb
N |
Totalb
N |
HAP prevalence | Odds ratio (95% CI) | |
---|---|---|---|---|---|
% of all patients (95% CI) | p value | ||||
Total | 2,748 | 215,537 | |||
Age | |||||
< 1 month | 61 | 7,592 | 0.8 (0.5–1.2) | < 0.0001 |
1.5 (1.1–2.0) |
1–11 months | 67 | 5,135 | 1.3 (1.0–1.8) | 2.1 (1.6–2.8) | |
1–44 years | 276 | 46,838 | 0.6 (0.5–0.7) | Reference | |
45–74 years | 1,188 | 88,726 | 1.3 (1.2–1.5) | 2.4 (2.1–2.7) | |
75–84 years | 776 | 43,665 | 1.8 (1.6–2.0) | 3.2 (2.8–3.7) | |
≥ 85 years | 377 | 23,319 | 1.6 (1.4–1.8) | 3.1 (2.6–3.6) | |
Sex | |||||
Female | 1,024 | 113,517 | 0.9 (0.8–1.0) | < 0.0001 | 0.6 (0.5–0.8) |
Male | 1,717 | 101,137 | 1.7 (1.6–1.8) | Reference | |
McCabe score | |||||
Nonfatal | 991 | 142,925 | 0.7 (0.6–0.8) | < 0.0001 |
Reference |
Ultimately fatal | 855 | 34,780 | 2.5 (2.2–2.7) | 3.6 (3.3–4.0) | |
Rapidly fatal | 485 | 11,275 | 4.3 (3.9–4.8) | 6.7 (6.0–7.6) | |
Intubated on survey date | |||||
Yes | 737c | 4,906 | 15 (14–17) | < 0.0001 | 18 (17–20) |
No | 1,999c | 20,9774 | 1.0 (0.9–1.0) | Reference | |
Length of stay until HAP or until survey dates (days)d | |||||
≤ 3 | 399 | 71,000 | 0.6 (0.5–0.6) | < 0.0001 |
Reference |
4–7 | 560 | 57,327 | 1.0 (0.9–1.1) | 1.7 (1.5–1.9) | |
8–14 | 494 | 41,740 | 1.2 (1.1–1.3) | 2.0 (1.8–2.3) | |
≥ 15 | 772 | 43,911 | 1.8 (1.6–1.9) | 3.1 (2.7–3.5) | |
Hospital type | |||||
Primary care | 291 | 31,401 | 0.9 (0.8–1.1) | < 0.0001 |
Reference |
Secondary care | 845 | 75,275 | 1.1 (1.0–1.3) | 1.3 (1.0–1.6) | |
Tertiary care | 1,383 | 85,363 | 1.6 (1.5–1.8) | 1.8 (1.5–2.3) | |
Specialised | 121 | 12,573 | 1.0 (0.7–1.4) | 0.8 (0.6–1.2) | |
Hospital size (number of beds) | |||||
< 200 | 202 | 21,200 | 1.0 (0.8–1.2) | < 0.0001 |
Reference |
200–399 | 561 | 50,069 | 1.1 (1.0–1.3) | 1.2 (0.9–1.4) | |
400–649 | 644 | 55,746 | 1.2 (1.0–1.3) | 1.2 (1.0–1.5) | |
≥ 650 | 1,341 | 88,522 | 1.5 (1.3–1.7) | 1.6 (1.3–2.1) | |
Speciality | |||||
Geriatrics | 101 | 8,982 | 1.1 (0.9–1.5) | < 0.0001 |
1.0 (0.8–1.2) |
Gynaecology/Obstetrics | 12 | 16,493 | 0.07 (0.04–0.13) | 0.1 (0.0–0.1) | |
Intensive care unit | 853 | 10,504 | 8.1 (7.4–8.9) | 7.1 (6.5–7.8) | |
Medical | 1,138 | 88,745 | 1.3 (1.1–1.4) | Reference | |
Mixed | 3 | 782 | 0.4 (0.1–1.2) | 0.3 (0.1–1.1) | |
Other | 13 | 1,160 | 1.1 (0.6–2.2) | 1.0 (0.6–1.7) | |
Paediatrics | 60 | 12,037 | 0.5 (0.3–0.7) | 0.4 (0.3–0.5) | |
Psychiatrics | 9 | 8,226 | 0.1 (0.1–0.2) | 0.1 (0.0–0.2) | |
Rehabilitation | 28 | 3,068 | 0.9 (0.6–1.5) | 0.7 (0.5–1.0) | |
Surgery | 530 | 65,370 | 0.8 (0.7–0.9) | 0.6 (0.5–0.7) |
CI: confidence interval; ECDC: European Centre for Disease Prevention and Control; HAP: healthcare associated pneumonia; IQR: interquartile range.
aEuropean Union countries, plus Croatia (EU Member State since 1 July 2013), Iceland and Norway.
bColumns may not tally to the total due to missing data.
cEighty percent (587/737) of patients with intubation on the survey date and 15% (303/1,999) of patients without incubation on the survey date were classified as intubation-associated pneumonia.
dExcluding patients with HAP at admission.