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American Journal of Public Health, Vol 91, Issue 7 1121-1123, Copyright © 2001 by American Public Health Association

JOURNAL ARTICLE

Epidemiologic trends in the hospitalization of elderly Medicare patients for pneumonia, 1991-1998

WB Baine, W Yu and JP Summe
Center for Outcomes and Effectiveness Research, Agency for Healthcare Research and Quality, Department of Health and Human Services, 6010 Executive Blvd, Rockville, MD 20852-3813, USA. wbaine@ahrq.gov

OBJECTIVES: This study determined hospitalization rates of elderly Americans for pneumonia from 1991 through 1998. METHODS: Epidemiologic data were described for 273,143 pneumonia hospitalizations. RESULTS: Annual hospitalizations for aspiration pneumonia increased by 93.5%. Pneumonia hospitalization rates increased steeply with age, especially among men. Black men were at highest risk for aspiration, unspecified, Klebsiella, "other gram-negative," and staphylococcal pneumonia; White men had the highest Haemophilus and pneumococcal pneumonia rates. Among women, Blacks predominated in aspiration and Klebsiella pneumonia; Whites had the highest Haemophilus and bronchopneumonia rates. CONCLUSIONS: An epidemic of hospitalization for aspiration pneumonia smoldered over 8 years. Significant disparities existed in hospitalization risks by race, sex, and principal diagnosis.


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