Assessing the burden of pneumonia using administrative data from Malaysia, Indonesia, and the Philippines

Soraya Azmi, Syed Mohamed Al-Junid Syed Junid, Namaitijiang Maimaiti, Al Abed Ali, Amrizal Muhammad Nur, Madeleine De Rosas-Valera, Joyce Encluna, Rosminah Mohamed, Bambang Wibowo, Kalsum Komaryani, Craig Roberts

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objectives: To describe the incidence, mortality, cost, and length of stay (LOS) of hospitalized community-acquired pneumonia (CAP) and hospital-acquired pneumonia (HAP) in three Southeast Asian countries: Malaysia, Indonesia, and the Philippines. Methods: Using Casemix system data from contributing hospitals, patients with International Classification of Diseases 10th revision (ICD-10) codes identifying pneumonia were categorized into CAP or HAP using a logical algorithm. The incidence among hospitalized patients, case fatality rates (CFR), mean LOS, and cost of admission were calculated. The population incidence was calculated based on Malaysian data. Results: For every 100 000 discharges, CAP and HAP incidences were 14 245 and 5615 cases, respectively, in the Philippines, 4205 and 2187, respectively, in Malaysia, and 988 and 538, respectively, in Indonesia. The impact was greatest in the young and the elderly. The CFR varied from 1.4% to 4.2% for CAP and from 9.1% and 25.5% for HAP. The mean LOS was 6.1-8.6 days for CAP and 6.9-10.2 days for HAP. The cost of hospitalization was between USD 254 and USD 1208 for CAP and between USD 275 and USD 1482 for HAP. Conclusions: The burden of CAP and HAP is high. Results varied between the three countries, likely due to differences in socio-economic conditions, health system differences, and ICD-coding practices.

Original languageEnglish
Pages (from-to)87-93
Number of pages7
JournalInternational Journal of Infectious Diseases
Volume49
DOIs
Publication statusPublished - 1 Aug 2016

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Philippines
Indonesia
Malaysia
Pneumonia
Length of Stay
Incidence
Costs and Cost Analysis
Mortality
International Classification of Diseases
Information Systems

Keywords

  • Burden of disease
  • CAP
  • Cost
  • HAP
  • Incidence rate
  • LOS

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

Cite this

Assessing the burden of pneumonia using administrative data from Malaysia, Indonesia, and the Philippines. / Azmi, Soraya; Syed Junid, Syed Mohamed Al-Junid; Maimaiti, Namaitijiang; Ali, Al Abed; Muhammad Nur, Amrizal; De Rosas-Valera, Madeleine; Encluna, Joyce; Mohamed, Rosminah; Wibowo, Bambang; Komaryani, Kalsum; Roberts, Craig.

In: International Journal of Infectious Diseases, Vol. 49, 01.08.2016, p. 87-93.

Research output: Contribution to journalArticle

Azmi, S, Syed Junid, SMA-J, Maimaiti, N, Ali, AA, Muhammad Nur, A, De Rosas-Valera, M, Encluna, J, Mohamed, R, Wibowo, B, Komaryani, K & Roberts, C 2016, 'Assessing the burden of pneumonia using administrative data from Malaysia, Indonesia, and the Philippines', International Journal of Infectious Diseases, vol. 49, pp. 87-93. https://doi.org/10.1016/j.ijid.2016.05.021
Azmi, Soraya ; Syed Junid, Syed Mohamed Al-Junid ; Maimaiti, Namaitijiang ; Ali, Al Abed ; Muhammad Nur, Amrizal ; De Rosas-Valera, Madeleine ; Encluna, Joyce ; Mohamed, Rosminah ; Wibowo, Bambang ; Komaryani, Kalsum ; Roberts, Craig. / Assessing the burden of pneumonia using administrative data from Malaysia, Indonesia, and the Philippines. In: International Journal of Infectious Diseases. 2016 ; Vol. 49. pp. 87-93.
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AU - Syed Junid, Syed Mohamed Al-Junid

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AU - Ali, Al Abed

AU - Muhammad Nur, Amrizal

AU - De Rosas-Valera, Madeleine

AU - Encluna, Joyce

AU - Mohamed, Rosminah

AU - Wibowo, Bambang

AU - Komaryani, Kalsum

AU - Roberts, Craig

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N2 - Objectives: To describe the incidence, mortality, cost, and length of stay (LOS) of hospitalized community-acquired pneumonia (CAP) and hospital-acquired pneumonia (HAP) in three Southeast Asian countries: Malaysia, Indonesia, and the Philippines. Methods: Using Casemix system data from contributing hospitals, patients with International Classification of Diseases 10th revision (ICD-10) codes identifying pneumonia were categorized into CAP or HAP using a logical algorithm. The incidence among hospitalized patients, case fatality rates (CFR), mean LOS, and cost of admission were calculated. The population incidence was calculated based on Malaysian data. Results: For every 100 000 discharges, CAP and HAP incidences were 14 245 and 5615 cases, respectively, in the Philippines, 4205 and 2187, respectively, in Malaysia, and 988 and 538, respectively, in Indonesia. The impact was greatest in the young and the elderly. The CFR varied from 1.4% to 4.2% for CAP and from 9.1% and 25.5% for HAP. The mean LOS was 6.1-8.6 days for CAP and 6.9-10.2 days for HAP. The cost of hospitalization was between USD 254 and USD 1208 for CAP and between USD 275 and USD 1482 for HAP. Conclusions: The burden of CAP and HAP is high. Results varied between the three countries, likely due to differences in socio-economic conditions, health system differences, and ICD-coding practices.

AB - Objectives: To describe the incidence, mortality, cost, and length of stay (LOS) of hospitalized community-acquired pneumonia (CAP) and hospital-acquired pneumonia (HAP) in three Southeast Asian countries: Malaysia, Indonesia, and the Philippines. Methods: Using Casemix system data from contributing hospitals, patients with International Classification of Diseases 10th revision (ICD-10) codes identifying pneumonia were categorized into CAP or HAP using a logical algorithm. The incidence among hospitalized patients, case fatality rates (CFR), mean LOS, and cost of admission were calculated. The population incidence was calculated based on Malaysian data. Results: For every 100 000 discharges, CAP and HAP incidences were 14 245 and 5615 cases, respectively, in the Philippines, 4205 and 2187, respectively, in Malaysia, and 988 and 538, respectively, in Indonesia. The impact was greatest in the young and the elderly. The CFR varied from 1.4% to 4.2% for CAP and from 9.1% and 25.5% for HAP. The mean LOS was 6.1-8.6 days for CAP and 6.9-10.2 days for HAP. The cost of hospitalization was between USD 254 and USD 1208 for CAP and between USD 275 and USD 1482 for HAP. Conclusions: The burden of CAP and HAP is high. Results varied between the three countries, likely due to differences in socio-economic conditions, health system differences, and ICD-coding practices.

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