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
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2021-11-01
Authors
de Miguel-Diez, Javier
Lopez-Herranz, Marta
Hernandez-Barrera, Valentin
de Miguel-Yanes, Jose M.
Perez-Farinos, Napoleon
Warnberg, Julia
Carabantes-Alarcon, David
Jimenez-Garcia, Rodrigo
Lopez-de-Andres, Ana
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Abstract
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 = 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
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community-acquired pneumonia, COPD, sex, incidence, in-hospital mortality, Population database, Mortality, Burden, Severity, Impact, Risk, Care, Age