Hospital-Treated Pneumonia Full Report: Diagnosis and Treatment

Hospital-Treated Pneumonia Full Report: Diagnosis and Treatment

In 2014, US healthcare spending exceeded $3.0 trillion with nearly 1/3 spent on hospitalizations. Informed by real-world data from an Electronic Health Record (EHR) database of clinical and administrative records spanning 272 million encounters for 60 million patients in 600+ hospitals across the US, Boston Strategic Partners (BSP) Clinical Insights report, Hospital-Treated Pneumonia, estimates 30% of all hospital discharges involve treatment of infectious organisms. Pneumonia is responsible for an estimated 12% of all hospital stays. At an average cost of $15,500 per occurrence, we estimate that hospitalizations for severe infections account for around $212 billion in annual spending or 7% of total healthcare expenditure. In this report, we conduct an in-depth analysis of pneumonia patient characteristics, medication management, costs, and laboratory testing.

This report provides quantitative, objective data focused on pneumonia infections requiring hospitalization captured by hospitals contributing to Cerner Health Facts. This data provides real-world patient encounters and reflects real physician decisions and encounter characteristics (e.g. patient response to therapy and outcomes) in key areas, such as antibiotic resistant pathogens and antimicrobial stewardship.

Focused on pneumonia requiring hospitalization, detailed analysis of over 680K hospital discharges from 2009 to 2015 (including projections through 2019)
Epidemiology of infection in the US, including demographic information, growth, overall patient encounter attributes, and most common causative agents
An overview of patients with pneumonia in the US, including region, gender, and age breakdown, payer type, infection type, associated patient comorbidities, and antibiotic usage
Analysis of Length of Stay (LOS), mortality, total costs, and admission data and how they correlate with the following:

Age of patient
Care setting
Antibiotic usage

Examination of frequently ordered lab tests and cultures with data on turnaround time (TAT) and results
Assessment of confirmatory diagnostic results, empiric therapy, and how results impact empiric therapy
Treatment duration of frequently used antibiotics
Discussion of the increasing concern regarding antibiotic-resistant organisms


1 Patient Flow
2 Executive Summary
3 Incidence and Impact of Disease
3.1 Incidence
3.2 Length of Stay
3.3 Total Cost
4 Patient Demographics
4.1 Age
4.2 Insurance type
4.3 Gender
4.4 Region
4.5 Mortality
4.6 Comorbid Conditions
5 Patient Segmentation by Diagnostic Testing
5.1 Causative Etiologic Agent
6 Length of Stay and Cost by Patient Segment
6.1. Age at Admission
6.2 APACHE II Score
6.3 First Care Setting
7 Patient Flow through the Hospital
7.1 Admission Site
7.2 Lab Testing
7.3 Lab TAT
7.4 Results
7.5 Etiology
7.6 Empiric Therapy
7.7 Change in treatment
8 Drug Share for Key Therapeutics
8.1 Most Common
8.2 LOS
8.3 APACHE Score
8.4 Treatment Duration
8.5 Product Dashboards
8.5.1 Market Share
8.5.2 Demographics
8.5.3 Hospitalization
9 Outcomes of Treatment
9.1 Antibiotic Usage
9.2 Mortality
9.3 Cost per Patient
10. Drug Resistant Pneumonia
10.1 Current Trends
10.2 Costs
10.3 Comorbidity
10.4 LOS
10.5 Mortality
11 Database Overview
12 Methodology

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