Pleural infection—an indicator of morbidity and increased burden on health care
Abstract OBJECTIVES Patients with pleural infections frequently have several comorbidities and inferior long-term survival. We hypothesized that these patients represent a vulnerable cohort with high rates of hospitalization and frequent use of healthcare services. This study aims to ascertain the n...
Gespeichert in:
| Veröffentlicht in: | Interactive cardiovascular and thoracic surgery 2020-10, Vol.31 (4), p.513-518 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 518 |
|---|---|
| container_issue | 4 |
| container_start_page | 513 |
| container_title | Interactive cardiovascular and thoracic surgery |
| container_volume | 31 |
| creator | Lehtomäki, Antti I Nevalainen, Riikka M Toikkanen, Vesa J Pohja, Emilia S Nieminen, Jaakko J Laurikka, Jari O Khan, Jahangir A |
| description | Abstract
OBJECTIVES
Patients with pleural infections frequently have several comorbidities and inferior long-term survival. We hypothesized that these patients represent a vulnerable cohort with high rates of hospitalization and frequent use of healthcare services. This study aims to ascertain the need for and causes of treatment episodes after pleural infections during long-term follow-up.
METHODS
Patients treated for pleural infections at Tampere University Hospital between January 2000 and December 2008 (n = 191, 81% males, median age 58 years) were included and compared to a demographically matched population-based random sample of 1910 controls. Seventy percent of the pleural infections were caused by pneumonias and 80% of the patients underwent surgery. Information regarding later in-hospital periods and emergency room and out-patient clinic visits, as well as survival data, was obtained from national registries and compared between patients and controls.
RESULTS
Patients treated for pleural infections had significantly higher rates of hospitalizations (8.19 vs 2.19), in-hospital days (88.5 vs 26.6), emergency room admissions (3.18 vs 1.45), out-patient clinic visits (41.1 vs 11.8) and procedures performed (1.26 vs 0.55) per 100 patient-months when compared to controls during 5-year follow-up, in addition to having increased mortality (30% vs 11%), P-value |
| doi_str_mv | 10.1093/icvts/ivaa147 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2441260030</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/icvts/ivaa147</oup_id><sourcerecordid>2441260030</sourcerecordid><originalsourceid>FETCH-LOGICAL-c365t-2873cc0b84d2f756e0aeca87b104ee2227cbbf338462ef68cb13ec79eb1c1a2a3</originalsourceid><addsrcrecordid>eNqFkMlOwzAQhi0EoqVw5Ip85BLqJesRVWxSJUCCczR2xqpREhc7qdQbD8ET8iSktCw3TjOj-fSP5iPklLMLzgo5tXrVhaldAfA42yNjnqRFVIg82f_Tj8hRCC-M8YJJdkhGUhSMi5SNyeNDjb2HmtrWoO6saz_e3qEdxspq6JynztDGeWUr260ptNWw0h4hYEVV7ytsqWvpAqHuFlSDx2NyYKAOeLKrE_J8ffU0u43m9zd3s8t5pGWadJHIM6k1U3lcCZMlKTJADXmmOIsRhRCZVspImcepQJPmWnGJOitQcc1BgJyQ823u0rvXHkNXNjZorGto0fWhFHG8eXF4eECjLaq9C8GjKZfeNuDXJWflxmL5ZbHcWRz4s110rxqsfuhvbb-3Xb_8J-sTdNx_fw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2441260030</pqid></control><display><type>article</type><title>Pleural infection—an indicator of morbidity and increased burden on health care</title><source>Oxford Journals Open Access Collection</source><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Lehtomäki, Antti I ; Nevalainen, Riikka M ; Toikkanen, Vesa J ; Pohja, Emilia S ; Nieminen, Jaakko J ; Laurikka, Jari O ; Khan, Jahangir A</creator><creatorcontrib>Lehtomäki, Antti I ; Nevalainen, Riikka M ; Toikkanen, Vesa J ; Pohja, Emilia S ; Nieminen, Jaakko J ; Laurikka, Jari O ; Khan, Jahangir A</creatorcontrib><description>Abstract
OBJECTIVES
Patients with pleural infections frequently have several comorbidities and inferior long-term survival. We hypothesized that these patients represent a vulnerable cohort with high rates of hospitalization and frequent use of healthcare services. This study aims to ascertain the need for and causes of treatment episodes after pleural infections during long-term follow-up.
METHODS
Patients treated for pleural infections at Tampere University Hospital between January 2000 and December 2008 (n = 191, 81% males, median age 58 years) were included and compared to a demographically matched population-based random sample of 1910 controls. Seventy percent of the pleural infections were caused by pneumonias and 80% of the patients underwent surgery. Information regarding later in-hospital periods and emergency room and out-patient clinic visits, as well as survival data, was obtained from national registries and compared between patients and controls.
RESULTS
Patients treated for pleural infections had significantly higher rates of hospitalizations (8.19 vs 2.19), in-hospital days (88.5 vs 26.6), emergency room admissions (3.18 vs 1.45), out-patient clinic visits (41.1 vs 11.8) and procedures performed (1.26 vs 0.55) per 100 patient-months when compared to controls during 5-year follow-up, in addition to having increased mortality (30% vs 11%), P-value <0.00001 each. Particularly, episodes due to respiratory and digestive diseases, malignancies and mental disorders were more frequent. The patients’ comorbidities, such as alcoholism or chronic pulmonary disease, were associated with more frequent use of healthcare services.
CONCLUSIONS
Patients treated for pleural infections have high rates of hospitalizations, emergency room admissions and out-patient clinic visits during follow-up.
The incidence of pleural infections, mostly caused by pneumonias, has been increasing and the disease causes a significant burden on health care [1–3].</description><identifier>ISSN: 1569-9285</identifier><identifier>EISSN: 1569-9285</identifier><identifier>DOI: 10.1093/icvts/ivaa147</identifier><identifier>PMID: 32901260</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Aged ; Delivery of Health Care - statistics & numerical data ; Female ; Finland - epidemiology ; Hospitalization - statistics & numerical data ; Humans ; Male ; Middle Aged ; Morbidity - trends ; Pleural Diseases - diagnosis ; Pleural Diseases - epidemiology ; Pleural Diseases - microbiology ; Registries</subject><ispartof>Interactive cardiovascular and thoracic surgery, 2020-10, Vol.31 (4), p.513-518</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-2873cc0b84d2f756e0aeca87b104ee2227cbbf338462ef68cb13ec79eb1c1a2a3</citedby><cites>FETCH-LOGICAL-c365t-2873cc0b84d2f756e0aeca87b104ee2227cbbf338462ef68cb13ec79eb1c1a2a3</cites><orcidid>0000-0002-4956-3651 ; 0000-0001-7253-6048</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32901260$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lehtomäki, Antti I</creatorcontrib><creatorcontrib>Nevalainen, Riikka M</creatorcontrib><creatorcontrib>Toikkanen, Vesa J</creatorcontrib><creatorcontrib>Pohja, Emilia S</creatorcontrib><creatorcontrib>Nieminen, Jaakko J</creatorcontrib><creatorcontrib>Laurikka, Jari O</creatorcontrib><creatorcontrib>Khan, Jahangir A</creatorcontrib><title>Pleural infection—an indicator of morbidity and increased burden on health care</title><title>Interactive cardiovascular and thoracic surgery</title><addtitle>Interact Cardiovasc Thorac Surg</addtitle><description>Abstract
OBJECTIVES
Patients with pleural infections frequently have several comorbidities and inferior long-term survival. We hypothesized that these patients represent a vulnerable cohort with high rates of hospitalization and frequent use of healthcare services. This study aims to ascertain the need for and causes of treatment episodes after pleural infections during long-term follow-up.
METHODS
Patients treated for pleural infections at Tampere University Hospital between January 2000 and December 2008 (n = 191, 81% males, median age 58 years) were included and compared to a demographically matched population-based random sample of 1910 controls. Seventy percent of the pleural infections were caused by pneumonias and 80% of the patients underwent surgery. Information regarding later in-hospital periods and emergency room and out-patient clinic visits, as well as survival data, was obtained from national registries and compared between patients and controls.
RESULTS
Patients treated for pleural infections had significantly higher rates of hospitalizations (8.19 vs 2.19), in-hospital days (88.5 vs 26.6), emergency room admissions (3.18 vs 1.45), out-patient clinic visits (41.1 vs 11.8) and procedures performed (1.26 vs 0.55) per 100 patient-months when compared to controls during 5-year follow-up, in addition to having increased mortality (30% vs 11%), P-value <0.00001 each. Particularly, episodes due to respiratory and digestive diseases, malignancies and mental disorders were more frequent. The patients’ comorbidities, such as alcoholism or chronic pulmonary disease, were associated with more frequent use of healthcare services.
CONCLUSIONS
Patients treated for pleural infections have high rates of hospitalizations, emergency room admissions and out-patient clinic visits during follow-up.
The incidence of pleural infections, mostly caused by pneumonias, has been increasing and the disease causes a significant burden on health care [1–3].</description><subject>Aged</subject><subject>Delivery of Health Care - statistics & numerical data</subject><subject>Female</subject><subject>Finland - epidemiology</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Morbidity - trends</subject><subject>Pleural Diseases - diagnosis</subject><subject>Pleural Diseases - epidemiology</subject><subject>Pleural Diseases - microbiology</subject><subject>Registries</subject><issn>1569-9285</issn><issn>1569-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMlOwzAQhi0EoqVw5Ip85BLqJesRVWxSJUCCczR2xqpREhc7qdQbD8ET8iSktCw3TjOj-fSP5iPklLMLzgo5tXrVhaldAfA42yNjnqRFVIg82f_Tj8hRCC-M8YJJdkhGUhSMi5SNyeNDjb2HmtrWoO6saz_e3qEdxspq6JynztDGeWUr260ptNWw0h4hYEVV7ytsqWvpAqHuFlSDx2NyYKAOeLKrE_J8ffU0u43m9zd3s8t5pGWadJHIM6k1U3lcCZMlKTJADXmmOIsRhRCZVspImcepQJPmWnGJOitQcc1BgJyQ823u0rvXHkNXNjZorGto0fWhFHG8eXF4eECjLaq9C8GjKZfeNuDXJWflxmL5ZbHcWRz4s110rxqsfuhvbb-3Xb_8J-sTdNx_fw</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Lehtomäki, Antti I</creator><creator>Nevalainen, Riikka M</creator><creator>Toikkanen, Vesa J</creator><creator>Pohja, Emilia S</creator><creator>Nieminen, Jaakko J</creator><creator>Laurikka, Jari O</creator><creator>Khan, Jahangir A</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4956-3651</orcidid><orcidid>https://orcid.org/0000-0001-7253-6048</orcidid></search><sort><creationdate>20201001</creationdate><title>Pleural infection—an indicator of morbidity and increased burden on health care</title><author>Lehtomäki, Antti I ; Nevalainen, Riikka M ; Toikkanen, Vesa J ; Pohja, Emilia S ; Nieminen, Jaakko J ; Laurikka, Jari O ; Khan, Jahangir A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-2873cc0b84d2f756e0aeca87b104ee2227cbbf338462ef68cb13ec79eb1c1a2a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Delivery of Health Care - statistics & numerical data</topic><topic>Female</topic><topic>Finland - epidemiology</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Morbidity - trends</topic><topic>Pleural Diseases - diagnosis</topic><topic>Pleural Diseases - epidemiology</topic><topic>Pleural Diseases - microbiology</topic><topic>Registries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lehtomäki, Antti I</creatorcontrib><creatorcontrib>Nevalainen, Riikka M</creatorcontrib><creatorcontrib>Toikkanen, Vesa J</creatorcontrib><creatorcontrib>Pohja, Emilia S</creatorcontrib><creatorcontrib>Nieminen, Jaakko J</creatorcontrib><creatorcontrib>Laurikka, Jari O</creatorcontrib><creatorcontrib>Khan, Jahangir A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Interactive cardiovascular and thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lehtomäki, Antti I</au><au>Nevalainen, Riikka M</au><au>Toikkanen, Vesa J</au><au>Pohja, Emilia S</au><au>Nieminen, Jaakko J</au><au>Laurikka, Jari O</au><au>Khan, Jahangir A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pleural infection—an indicator of morbidity and increased burden on health care</atitle><jtitle>Interactive cardiovascular and thoracic surgery</jtitle><addtitle>Interact Cardiovasc Thorac Surg</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>31</volume><issue>4</issue><spage>513</spage><epage>518</epage><pages>513-518</pages><issn>1569-9285</issn><eissn>1569-9285</eissn><abstract>Abstract
OBJECTIVES
Patients with pleural infections frequently have several comorbidities and inferior long-term survival. We hypothesized that these patients represent a vulnerable cohort with high rates of hospitalization and frequent use of healthcare services. This study aims to ascertain the need for and causes of treatment episodes after pleural infections during long-term follow-up.
METHODS
Patients treated for pleural infections at Tampere University Hospital between January 2000 and December 2008 (n = 191, 81% males, median age 58 years) were included and compared to a demographically matched population-based random sample of 1910 controls. Seventy percent of the pleural infections were caused by pneumonias and 80% of the patients underwent surgery. Information regarding later in-hospital periods and emergency room and out-patient clinic visits, as well as survival data, was obtained from national registries and compared between patients and controls.
RESULTS
Patients treated for pleural infections had significantly higher rates of hospitalizations (8.19 vs 2.19), in-hospital days (88.5 vs 26.6), emergency room admissions (3.18 vs 1.45), out-patient clinic visits (41.1 vs 11.8) and procedures performed (1.26 vs 0.55) per 100 patient-months when compared to controls during 5-year follow-up, in addition to having increased mortality (30% vs 11%), P-value <0.00001 each. Particularly, episodes due to respiratory and digestive diseases, malignancies and mental disorders were more frequent. The patients’ comorbidities, such as alcoholism or chronic pulmonary disease, were associated with more frequent use of healthcare services.
CONCLUSIONS
Patients treated for pleural infections have high rates of hospitalizations, emergency room admissions and out-patient clinic visits during follow-up.
The incidence of pleural infections, mostly caused by pneumonias, has been increasing and the disease causes a significant burden on health care [1–3].</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>32901260</pmid><doi>10.1093/icvts/ivaa147</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-4956-3651</orcidid><orcidid>https://orcid.org/0000-0001-7253-6048</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1569-9285 |
| ispartof | Interactive cardiovascular and thoracic surgery, 2020-10, Vol.31 (4), p.513-518 |
| issn | 1569-9285 1569-9285 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2441260030 |
| source | Oxford Journals Open Access Collection; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Aged Delivery of Health Care - statistics & numerical data Female Finland - epidemiology Hospitalization - statistics & numerical data Humans Male Middle Aged Morbidity - trends Pleural Diseases - diagnosis Pleural Diseases - epidemiology Pleural Diseases - microbiology Registries |
| title | Pleural infection—an indicator of morbidity and increased burden on health care |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T00%3A39%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Pleural%20infection%E2%80%94an%20indicator%20of%20morbidity%20and%20increased%20burden%20on%20health%20care&rft.jtitle=Interactive%20cardiovascular%20and%20thoracic%20surgery&rft.au=Lehtom%C3%A4ki,%20Antti%20I&rft.date=2020-10-01&rft.volume=31&rft.issue=4&rft.spage=513&rft.epage=518&rft.pages=513-518&rft.issn=1569-9285&rft.eissn=1569-9285&rft_id=info:doi/10.1093/icvts/ivaa147&rft_dat=%3Cproquest_cross%3E2441260030%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2441260030&rft_id=info:pmid/32901260&rft_oup_id=10.1093/icvts/ivaa147&rfr_iscdi=true |