Community-Acquired Pneumonia among Patients with COPD in Spain from 2016 to 2019. Cohort Study Assessing Sex Differences in the Incidence and Outcomes Using Hospital Discharge Data

Background: To describe and analyze the incidence and hospital outcomes of patients admitted with community-acquired pneumonia (CAP) according to Chronic Obstructive Pulmonary Disease (COPD) status and sex in Spanish hospitals from 2016 to 2019. Methods: We conducted a cohort study using national ho...

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Autores: Miguel Díez, Javier De, López Herranz, Marta, Hernández Barrera, Valentín, Miguel Yanes, José María De, Pérez Farinós, José Napoleón, Wärnberg, Julia, Carabantes Alarcón, David, Jiménez García, Rodrigo, López De Andrés, Ana Isabel
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/4800
Acceso en línea:https://hdl.handle.net/20.500.14352/4800
Access Level:acceso abierto
Palabra clave:Community-acquired pneumonia
COPD
Sex
Incidence
In-hospital mortality
Neumología
Enfermería
3205.08 Enfermedades Pulmonares
32 Ciencias Médicas
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network_acronym_str ES
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spelling Community-Acquired Pneumonia among Patients with COPD in Spain from 2016 to 2019. Cohort Study Assessing Sex Differences in the Incidence and Outcomes Using Hospital Discharge DataMiguel Díez, Javier DeLópez Herranz, MartaHernández Barrera, ValentínMiguel Yanes, José María DePérez Farinós, José NapoleónWärnberg, JuliaCarabantes Alarcón, DavidJiménez García, RodrigoLópez De Andrés, Ana IsabelCommunity-acquired pneumoniaCOPDSexIncidenceIn-hospital mortalityNeumologíaEnfermería3205.08 Enfermedades Pulmonares32 Ciencias MédicasBackground: To describe and analyze the incidence and hospital outcomes of patients admitted with community-acquired pneumonia (CAP) according to Chronic Obstructive Pulmonary Disease (COPD) status and sex in Spanish hospitals from 2016 to 2019. Methods: We conducted a cohort study using national hospital discharge data of all patients ≥40 years with CAP. Results: A total of 500,833 patients (59.0% men) was identified. Incidence of CAP increased over time. Age-adjusted incidence was 4.42-times higher in COPD patients. In-hospital mortality (IHM) was lower in men and women with COPD than in those without COPD (14.41% vs. 10.70% in men; 11.12% vs. 8.58%. in women; p < 0.001). The risk of dying in hospital increased with age, presence of several comorbidities (excluding T2DM that was a protective factor), and need for mechanical ventilation (non-invasive and invasive) during admission, irrespective of sex. Over time, the IHM decreased significantly in men and women with COPD. Men with COPD were significantly more likely to die in hospital than were COPD women (OR 1.13; 95% CI 1.07–1.21). Conclusions: Incidence of CAP was higher among subjects with COPD, although the effect of COPD was higher in men than in women. By contrast, IHM was lower in COPD patients, but men with COPD were significantly more likely to die in hospital than were COPD women.MPDIUniversidad Complutense de Madrid20212021-10-2320212021-10-23journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/4800reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 3.0 Españahttps://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/48002026-06-02T12:44:21Z
dc.title.none.fl_str_mv Community-Acquired Pneumonia among Patients with COPD in Spain from 2016 to 2019. Cohort Study Assessing Sex Differences in the Incidence and Outcomes Using Hospital Discharge Data
title Community-Acquired Pneumonia among Patients with COPD in Spain from 2016 to 2019. Cohort Study Assessing Sex Differences in the Incidence and Outcomes Using Hospital Discharge Data
spellingShingle Community-Acquired Pneumonia among Patients with COPD in Spain from 2016 to 2019. Cohort Study Assessing Sex Differences in the Incidence and Outcomes Using Hospital Discharge Data
Miguel Díez, Javier De
Community-acquired pneumonia
COPD
Sex
Incidence
In-hospital mortality
Neumología
Enfermería
3205.08 Enfermedades Pulmonares
32 Ciencias Médicas
title_short Community-Acquired Pneumonia among Patients with COPD in Spain from 2016 to 2019. Cohort Study Assessing Sex Differences in the Incidence and Outcomes Using Hospital Discharge Data
title_full Community-Acquired Pneumonia among Patients with COPD in Spain from 2016 to 2019. Cohort Study Assessing Sex Differences in the Incidence and Outcomes Using Hospital Discharge Data
title_fullStr Community-Acquired Pneumonia among Patients with COPD in Spain from 2016 to 2019. Cohort Study Assessing Sex Differences in the Incidence and Outcomes Using Hospital Discharge Data
title_full_unstemmed Community-Acquired Pneumonia among Patients with COPD in Spain from 2016 to 2019. Cohort Study Assessing Sex Differences in the Incidence and Outcomes Using Hospital Discharge Data
title_sort Community-Acquired Pneumonia among Patients with COPD in Spain from 2016 to 2019. Cohort Study Assessing Sex Differences in the Incidence and Outcomes Using Hospital Discharge Data
dc.creator.none.fl_str_mv Miguel Díez, Javier De
López Herranz, Marta
Hernández Barrera, Valentín
Miguel Yanes, José María De
Pérez Farinós, José Napoleón
Wärnberg, Julia
Carabantes Alarcón, David
Jiménez García, Rodrigo
López De Andrés, Ana Isabel
author Miguel Díez, Javier De
author_facet Miguel Díez, Javier De
López Herranz, Marta
Hernández Barrera, Valentín
Miguel Yanes, José María De
Pérez Farinós, José Napoleón
Wärnberg, Julia
Carabantes Alarcón, David
Jiménez García, Rodrigo
López De Andrés, Ana Isabel
author_role author
author2 López Herranz, Marta
Hernández Barrera, Valentín
Miguel Yanes, José María De
Pérez Farinós, José Napoleón
Wärnberg, Julia
Carabantes Alarcón, David
Jiménez García, Rodrigo
López De Andrés, Ana Isabel
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv Community-acquired pneumonia
COPD
Sex
Incidence
In-hospital mortality
Neumología
Enfermería
3205.08 Enfermedades Pulmonares
32 Ciencias Médicas
topic Community-acquired pneumonia
COPD
Sex
Incidence
In-hospital mortality
Neumología
Enfermería
3205.08 Enfermedades Pulmonares
32 Ciencias Médicas
description Background: To describe and analyze the incidence and hospital outcomes of patients admitted with community-acquired pneumonia (CAP) according to Chronic Obstructive Pulmonary Disease (COPD) status and sex in Spanish hospitals from 2016 to 2019. Methods: We conducted a cohort study using national hospital discharge data of all patients ≥40 years with CAP. Results: A total of 500,833 patients (59.0% men) was identified. Incidence of CAP increased over time. Age-adjusted incidence was 4.42-times higher in COPD patients. In-hospital mortality (IHM) was lower in men and women with COPD than in those without COPD (14.41% vs. 10.70% in men; 11.12% vs. 8.58%. in women; p < 0.001). The risk of dying in hospital increased with age, presence of several comorbidities (excluding T2DM that was a protective factor), and need for mechanical ventilation (non-invasive and invasive) during admission, irrespective of sex. Over time, the IHM decreased significantly in men and women with COPD. Men with COPD were significantly more likely to die in hospital than were COPD women (OR 1.13; 95% CI 1.07–1.21). Conclusions: Incidence of CAP was higher among subjects with COPD, although the effect of COPD was higher in men than in women. By contrast, IHM was lower in COPD patients, but men with COPD were significantly more likely to die in hospital than were COPD women.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-10-23
2021
2021-10-23
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/4800
url https://hdl.handle.net/20.500.14352/4800
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MPDI
publisher.none.fl_str_mv MPDI
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,301603

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