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Characteristics and incidence trends of adults hospitalized with community-acquired pneumonia in Portugal, pre-pandemic

2025-05Artigo científico Acesso aberto
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dc.contributor.authorCarneiro, Joana
dc.contributor.authorTeixeira, Rita
dc.contributor.authorLeite, Andreia
dc.contributor.authorLahuerta, Maria
dc.contributor.authorCatusse, Julie
dc.contributor.authorAli, Mohammad
dc.contributor.authorLopes, Sílvia
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.institutionLaboratório Associado de Translacção e Inovação para a Saúde Global - LA Real (Pólo ENSP)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.pblPLOS - Public Library of Science
dc.date.accessioned2025-06-05T21:18:42Z
dc.date.available2025-06-05T21:18:42Z
dc.date.issued2025-05
dc.descriptionFunding Information: This study was conducted as a research collaboration between the NOVA National School of Public Health (sponsor) and Pfizer (funder). The sponsor played a role in the study design, data collection, analysis and interpretation, decision to publish, and preparation of the manuscript. The funder played a role in the study design, data interpretation, decision to publish, and preparation of the manuscript. RT, ML, JuC, and MA are employees of Pfizer and may hold stocks or stock options. Grant number: not applicable. Pfizer URL: https://www.pfizer.com/. We thank the Health System Central Administration for providing the data for this study. We also thank Jo\u00E3o Victor Rocha for support in the protocol development and Francisco Madeira for helping with 2016 data preparation. This work is original and has not been published elsewhere, nor is it currently under consideration for publication elsewhere than the European Respiratory Society Congress 2024, where it was presented as a poster. Publisher Copyright: Copyright: © 2025 Carneiro et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
dc.description.abstractCommunity-acquired pneumonia (CAP) is a major cause of hospitalization that leads to substantial morbidity, mortality, and costs. Evaluating CAP trends over time is important to understand patterns and the impact of public health interventions. This study aims to describe the characteristics and trends in the incidence of adults hospitalized with CAP in Portugal between 2010 and 2018. In this study, we included hospitalization data, prevalence of comorbidities, and population data. CAP hospitalizations of adults (≥18y) living in mainland Portugal discharged from public hospitals were identified using ICD-9-CM or ICD-10-CM codes. Based on previous CAP studies, we selected nine relevant comorbidities. We described the frequency and incidence of CAP hospitalizations per sex, age group, comorbidity, and year of discharge. Trends were explored using Joinpoint regression. We observed 470,545 CAP hospitalizations falling into the 2010–18 period. The majority were males (54.8%) and aged ≥75 years (65.3%). Most often recorded comorbidities were congestive heart failure (26.4%), diabetes (25.5%), and chronic pulmonary disease (19.2%). The Joinpoint regression identified a gradual decline in the incidence rates of CAP hospitalizations for both sexes and all age groups. Of the nine comorbidities selected, seven showed a progressive increase in incidence rates followed by a subsequent decline (all except HIV/AIDS and chronic renal disease). Our findings offer valuable insights for selecting priority groups for public health interventions and design strategies to mitigate the burden of CAP.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent505780
dc.identifier.doi10.1371/journal.pone.0322623
dc.identifier.issn1932-6203
dc.identifier.otherPURE: 117884575
dc.identifier.otherPURE UUID: f613db0b-9f9d-4c77-bf81-f70c8741b024
dc.identifier.otherScopus: 105005434458
dc.identifier.otherPubMed: 40378392
dc.identifier.otherPubMedCentral: PMC12084036
dc.identifier.otherORCID: /0000-0003-0843-0630/work/185461672
dc.identifier.otherORCID: /0000-0002-6048-396X/work/185462645
dc.identifier.otherWOS: 001489938900017
dc.identifier.urihttp://hdl.handle.net/10362/183917
dc.identifier.urlhttps://www.scopus.com/pages/publications/105005434458
dc.language.isoeng
dc.peerreviewedyes
dc.subjectGeneral
dc.subjectSDG 3 - Good Health and Well-being
dc.titleCharacteristics and incidence trends of adults hospitalized with community-acquired pneumonia in Portugal, pre-pandemicen
dc.typejournal article
degois.publication.issue5
degois.publication.titlePLoS ONE
degois.publication.volume20
dspace.entity.typePublication
rcaap.rightsopenAccess

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