Table 6.
Healthcare cost associated with ACP and IPD in patients with at least one ACP or IPD episode, by risk groups (2016–2019)
| ACP | IPD | |||||||
|---|---|---|---|---|---|---|---|---|
| Overall | High-risk | At-risk | Healthy | Overall | High-risk | At-risk | Healthy | |
| Number of patients | 146 225 | 61 547 | 64 534 | 20 144 | 965 | 486 | 364 | 115 |
| Outpatients | ||||||||
| Visit rate (rate per 1000 PY, 95% CI) | 3795 (3775–3815) | 3180 (3152–3209) | 4028 (3997–4060) | 4976 (4913–5040) | 1580 (1404–1772) | 1615 (1369–1892) | 1465 (1191–1784) | 1774 (1273–2407) |
| Total visit cost, € | 6 884 025 | 2 989 113 | 3 036 097 | 858 814 | 18 946 | 9406 | 7764 | 1776 |
| Visit cost per episode, €, (95% CI) | 40 (40–41) | 40 (39–41) | 41 (40–41) | 40 (9–41) | 18 (13–23) | 18 (13–23) | 20 (9–30) | 14 (3–25) |
| Total outpatient cost, including visits and prescriptions, € | 9 464 319 | 3 995 777 | 4 205 183 | 1 263 360 | 31 034 | 15 886 | 11 533 | 3615 |
| Outpatient cost per episode, €, (95% CI) | 55 (55–56) | 53 (52–54) | 56 (56–57) | 59 (8–60) | 29 (22–37) | 30 (19–41) | 29 (17–41) | 28 (14–42) |
| Inpatients | ||||||||
| Hospital admission (rate per 1000 PY, 95% CI) | 2928 (2910–2946) | 3701 (3670–3732) | 2599 (2574–2625) | 1563 (1527–1599) | 5156 (4834–5493) | 5024 (4583–5497) | 5417 (4876–6001) | 4933 (4069–5926) |
| Total hospital cost, € | 239 426 680 | 127 976 977 | 94 020 761 | 17 428 941 | 8 471 725 | 4 360 150 | 2 838 932 | 1 272 643 |
| Hospital cost per episode, €, (95% CI) | 1399 (1370–1427) | 1706 (1659–1752) | 1259 (1218–1301) | 811 (747–875) | 8045 (7092–8999) | 8227 (6848–9606) | 7205 (5827–8584) | 9865 (6536–13 195) |
| Total inpatient and outpatient cost (€) | 248 891 000 | 131 972 754 | 98 225 945 | 18 692 301 | 8 502 759 | 4 376 036 | 2 850 465 | 1 276 258 |
| Total cost per episode (€, 95% CI) | 1454 (1426–1482) | 1759 (1712–1806) | 1316 (1275–1357) | 870 (805–934) | 8075 (7121–9028) | 8257 (6878–9635) | 7235 (5857–8612) | 9893 (6565–13 222) |
ACP, all-cause pneumonia; CI, confidence interval; IPD, invasive pneumococcal disease; PY, person-year.