From the HCMS Group (Dr Kleinman and Mr Beren), Cheyenne, Wyo; and Pfizer, Inc (Ms Yu and Dr Sato), Collegeville, Penn.
J Occup Environ Med. 2013 Oct;55(10):1149-56. doi: 10.1097/JOM.0b013e3182a7e6af.
To estimate community-acquired pneumonia (CAP) incidence, turnover, episode length, inpatient length-of-stay, and cost burden.
Using 2007 to 2010 employee demographic, payroll, and claims data, CAP episodes were identified in employees aged 18 to 64 years. Semiannual medical, drug, sick leave, short-term disability (STD), long-term disability, and workers' compensation costs and absence days were compared between employees with and without CAP (controls) using two-part regression modeling.
In a population of 250,000, the number of CAP episodes per 100,000 employees was 628. The incidence rate increased with age and comorbidity. CAP employees' turnover rate nearly doubled that of controls (P < 0.01). In every age and risk group, employees with CAP had significantly (P < 0.01) higher medical and drug costs than controls and double the STD costs and days (P < 0.05).
CAP and underlying comorbidity are associated with increased medical, pharmacy, and STD costs and employee turnover rates.
评估社区获得性肺炎（CAP）的发病率、周转率、发病持续时间、住院时间和费用负担。
利用 2007 年至 2010 年员工人口统计、工资和理赔数据，确定 18 至 64 岁员工的 CAP 发病情况。采用双因素回归模型比较 CAP 患者（病例组）与无 CAP 的员工（对照组）的半年度医疗、药品、病假、短期残疾（STD）、长期残疾和工人赔偿费用以及缺勤天数。
在 25 万人群中，每 10 万员工的 CAP 发病数为 628。发病率随年龄和合并症的增加而增加。CAP 员工的离职率几乎是对照组的两倍（P<0.01）。在所有年龄和风险组中，CAP 患者的医疗和药品费用均明显高于对照组（P<0.01），STD 费用和天数则是对照组的两倍（P<0.05）。
CAP 及基础合并症与医疗、药品和 STD 费用增加及员工离职率升高相关。
