General practitioners' contribution to the management of community-acquired pneumonia in the Netherlands: a retrospective analysis of primary care, hospital, and national mortality databases with individual data linkage

Bianca Snijders, Wim van der Hoek, Irina Stirbu, Marianne A B van der Sande, Arianne B van Gageldonk-Lafeber

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Community-acquired pneumonia (CAP) is an important cause of hospital admission and death, but the extent of the problem of CAP at the primary healthcare level is largely unknown.

AIMS: To investigate the contribution of general practitioners (GPs) to the management of patients with CAP in the Netherlands.

METHODS: The study population consisted of all people enlisted in a GP network. We obtained information on CAP episodes from GP electronic records (using ICPC code R81) during the years 2002-2009. CAP registrations were also obtained from national hospital discharge data (ICD-9 codes) and cause of death statistics (ICD-10 codes). The three registration systems were linked at the individual level. We used descriptive analyses to estimate the annual number of CAP episodes (i.e. defined as a CAP diagnosis within 30 days).

RESULTS: From 2002 to 2009 the mean annual size of the study population was 395,039. For this population, 3,700 (0.9%) CAP episodes per year were registered in at least one of the registration systems, 2,933 (79%) of which were in the GP system only. Recovery within 30 days occurred on average in 95% (2,791/2,933) of the CAP episodes annually registered by a GP, while 2.3% (67/2,933) of patients with a GP-registered CAP episode were admitted to hospital within 30 days and 1% (26/2,933) had a fatal outcome within 30 days.

CONCLUSIONS: The vast majority of CAP episodes registered in the Netherlands are managed successfully at the GP level without hospitalisation.

Original languageEnglish
JournalPrimary Care Respiratory Journal
Volume22
Issue number4
Pages (from-to)400-5
Number of pages6
ISSN1471-4418
DOIs
Publication statusPublished - Dec-2013

Keywords

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Community-Acquired Infections/therapy
  • Databases, Factual
  • Disease Management
  • Female
  • General Practice/statistics & numerical data
  • Hospitalization/statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Netherlands
  • Pneumonia/therapy
  • Practice Patterns, Physicians'/statistics & numerical data
  • Primary Health Care/statistics & numerical data
  • Retrospective Studies
  • Young Adult

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