CEEOR spol. s r.o., Prague, Czech Republic.
PLoS One. 2013 Aug 6;8(8):e71375. doi: 10.1371/journal.pone.0071375. Print 2013.
We estimate and describe the incidence rates, mortality, and cost of CAP (community-acquired pneumonia), in both inpatient and outpatient settings, in the Czech Republic (CZ), Slovakia (SK), Poland (PL), and Hungary (HU). A retrospective analysis was conducted on administrative data from the health ministry and insurance reimbursement claims with a primary diagnosis of pneumonia in 2009 to determine hospitalization rates, costs, and mortality in adults ≥50 years of age. Patient chart reviews were conducted to estimate the number of outpatient cases. Among all adults ≥50 years, the incidence of hospitalized CAP per 100,000 person years was: 456.6 (CZ), 504.6 (SK), 363.9 (PL), and 845.3 (HU). The average fatality rate for all adults ≥50 is 19.1%, and for each country; 21.7% (CZ), 20.9% (SK), 18.6% (PL), 17.8% (HU). Incidence, fatality, and likelihood of hospitalization increased with advancing age. Total healthcare costs of CAP in EUR was 12,579,543 (CZ); 9,160,774 (SK); 22,409,085 (PL); and 18,298,449 (HU); with hospitalization representing over 90% of the direct costs of treatment. The burden of CAP increases with advancing age in four CEE countries, with hospitalizations driving the costs of CAP upwards in the elderly population. Mortality rates are generally higher than reported in Western EU countries.
我们估计并描述了捷克共和国（CZ）、斯洛伐克（SK）、波兰（PL）和匈牙利（HU）中住院和门诊环境下社区获得性肺炎（CAP）的发病率、死亡率和费用。对卫生部行政数据和 2009 年有肺炎主要诊断的保险报销索赔进行了回顾性分析，以确定≥50 岁成年人的住院率、费用和死亡率。对患者病历进行了审查，以估计门诊病例数。在所有≥50 岁的成年人中，每 100,000 人年住院 CAP 的发病率为：456.6（CZ）、504.6（SK）、363.9（PL）和 845.3（HU）。所有≥50 岁成年人的平均病死率为 19.1%，每个国家的病死率分别为：21.7%（CZ）、20.9%（SK）、18.6%（PL）、17.8%（HU）。发病率、病死率和住院可能性随年龄增长而增加。CAP 的总医疗保健费用为 12,579,543 欧元（CZ）；9,160,774 欧元（SK）；22,409,085 欧元（PL）；18,298,449 欧元（HU）；住院治疗占治疗直接费用的 90%以上。在四个 CEE 国家，CAP 的负担随着年龄的增长而增加，住院治疗使老年人的 CAP 成本上升。死亡率普遍高于西欧欧盟国家报告的死亡率。
