Evidence map›Paper›PMID 25980561›Full record

ArticleInfection2015

Clinical and economic burden of community-acquired pneumonia in the Veterans Health Administration, 2011: a retrospective cohort study.

John M McLaughlin, Maribeth H Johnson, Stephen A Kagan, Stephanie L Baer

Open access · hybridAbstract read
In one paragraph

Article in Infection, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. How and when to manage respiratory infections out of hospital.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  8. Article
  9. Article
  10. Effectiveness of Beta-Lactam plus Doxycycline for Patients Hospitalized with Community-Acquired Pneumonia.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Observational
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Community-acquired pneumonia in critically ill very old patients: a growing problem.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  17. Article
  18. Review
  19. Importance of Mcl-1 for Alveolar Macrophage Apoptosis-associated Bacterial Killing.American journal of respiratory and critical care medicine · 2019
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

John M McLaughlinPfizer Vaccines, New York, NY, USA. john.mclaughlin@pfizer.com.
Maribeth H JohnsonCharlie Norwood VA Medical Center, Augusta, GA, USA.
Stephen A KaganPfizer Vaccines, New York, NY, USA.
Stephanie L BaerCharlie Norwood VA Medical Center, Augusta, GA, USA.
Augusta University · USPfizer (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe burden of community-acquired pneumonia (CAP) is not well described in the US Veterans Health Administration (VHA).

methodsCAP was defined as having a pneumonia diagnosis with evidence of chest X-ray, and no evidence of prior (90 days) hospitalization/long-term care. We calculated incidence rates of adult CAP occurring in inpatient or outpatient VHA settings in 2011. We also estimated the proportion of VHA CAP patients who were hospitalized, were readmitted within 30 days of hospital discharge, and died (any cause) in the year following diagnosis. Incremental costs during the 90 days following a CAP diagnosis were estimated from the perspective of the VHA.

resultsIn 2011, 34,101 Veterans developed CAP (35,380 episodes) over 7,739,757 VHA person-years. Median age of CAP patients was 65 years (95 % male). CAP incidence rates were higher for those aged ≥50 years. A majority of Veterans aged 50-64 (53 %) and ≥65 (66 %) years had ≥1 chronic medical (moderate risk) or immunocompromising (high risk) condition. Compared to those at low-risk (healthy), moderate- and high-risk Veterans were >3 and >6 times more likely to develop CAP, respectively. The percentage of CAP patients who were hospitalized was 45 %, ranging from 12 % (age 18-49, low risk) to 57 % (age ≥65, high risk). One-year all-cause mortality rates ranged from 1 % (age 18-49, low risk) to 36 % (age ≥65, high risk). Annual VHA medical expenditure related to CAP was estimated to be $750 million (M) ($415M for those aged ≥65 years).

conclusionA focus on CAP prevention among older Veterans and those with comorbid or immunocompromising conditions is important.

Indexed as

Health Care CostsVeterans HealthAdolescentAdultAgedAged, 80 and overCommunity-Acquired InfectionsFemaleHospitalizationHumansIncidenceMaleMiddle AgedPneumoniaRetrospective StudiesSurvival AnalysisBurden of diseaseCommunity-acquired pneumoniaEpidemiologyRisk factorRisk statusVeterans

Identifiers

PMID25980561
PMCPMC4656694
OpenAlexW2108752288

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.