Additional Cost Because of Pneumonia in Nursing Home Residents: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Resident Study

Nadège Costa, Michael Mounié, Laurent Molinier, Nadège Costa, Michael Mounié, Laurent Molinier, Emiel O. Hoogendijk, Yves Rolland, Bruno Vellas, Matteo Cesari, Emiel O. Hoogendijk, Michael Mounié, Yves Rolland, Bruno Vellas, Laurent Molinier, Matteo Cesari, Robert Bourrel

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objectives Pneumonia is a frequent condition in older people. Our aim was to examine the total healthcare cost related to pneumonia in nursing home (NH) residents over a 1-year follow-up period. Design This was a prospective, longitudinal, observational, and multicenter study that was a part of the Incidence of Pneumonia and related Consequences in Nursing Home Resident study. Setting Thirteen NHs located in Languedoc Roussillon and Midi-Pyrénées regions in France were included. Participants Resident in NH, older than 60 years and had a group iso-resource score ranging from 2 to 5. Measurements Pneumonia events were characterized according to the Observatoire du Risque Infectieux en Geriatrie criteria. Direct medical and nonmedical costs were assessed from the French health insurance perspective. Healthcare resources was retrospectively gathered from the French Social Health Insurance database and valued using the tariffs reimbursed by the French health insurance. Sociodemographic variables, clinical factors, vaccinations, cognition, depression, functional status, frailty index, as well as group iso-resource score were also recorded. Results Among the 800 patients initially included in the Incidence of Pneumonia and Related Consequences in Nursing Home Resident study, 345 which were listed in the database of the French Social Health Insurance were included in this economic study. Among them, 64 (18%) experienced at least 1 episode of pneumonia during the 1-year follow-up period. Mean annual total additional cost for a patient who experienced at least 1 episode of pneumonia during the 1 year follow-up period is 2813€. On average, total annual costs increased by 60% to 93% when a patient experienced at least 1 episode of pneumonia. Conclusions NH-acquired pneumonia has a great impact on total cost of care for NH residents. Our results suggest the potential economic savings that could be achieved if pneumonia could be prevented in NHs.

Original languageEnglish
Pages (from-to)453.e7-453.e12
JournalJournal of the American Medical Directors Association
Volume18
Issue number5
DOIs
Publication statusPublished - 1 May 2017

Cite this

Costa, Nadège ; Mounié, Michael ; Molinier, Laurent ; Costa, Nadège ; Mounié, Michael ; Molinier, Laurent ; Hoogendijk, Emiel O. ; Rolland, Yves ; Vellas, Bruno ; Cesari, Matteo ; Hoogendijk, Emiel O. ; Mounié, Michael ; Rolland, Yves ; Vellas, Bruno ; Molinier, Laurent ; Cesari, Matteo ; Bourrel, Robert. / Additional Cost Because of Pneumonia in Nursing Home Residents : Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Resident Study. In: Journal of the American Medical Directors Association. 2017 ; Vol. 18, No. 5. pp. 453.e7-453.e12.
@article{0c38d5b937b4442c99d4a80a53193b90,
title = "Additional Cost Because of Pneumonia in Nursing Home Residents: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Resident Study",
abstract = "Objectives Pneumonia is a frequent condition in older people. Our aim was to examine the total healthcare cost related to pneumonia in nursing home (NH) residents over a 1-year follow-up period. Design This was a prospective, longitudinal, observational, and multicenter study that was a part of the Incidence of Pneumonia and related Consequences in Nursing Home Resident study. Setting Thirteen NHs located in Languedoc Roussillon and Midi-Pyr{\'e}n{\'e}es regions in France were included. Participants Resident in NH, older than 60 years and had a group iso-resource score ranging from 2 to 5. Measurements Pneumonia events were characterized according to the Observatoire du Risque Infectieux en Geriatrie criteria. Direct medical and nonmedical costs were assessed from the French health insurance perspective. Healthcare resources was retrospectively gathered from the French Social Health Insurance database and valued using the tariffs reimbursed by the French health insurance. Sociodemographic variables, clinical factors, vaccinations, cognition, depression, functional status, frailty index, as well as group iso-resource score were also recorded. Results Among the 800 patients initially included in the Incidence of Pneumonia and Related Consequences in Nursing Home Resident study, 345 which were listed in the database of the French Social Health Insurance were included in this economic study. Among them, 64 (18{\%}) experienced at least 1 episode of pneumonia during the 1-year follow-up period. Mean annual total additional cost for a patient who experienced at least 1 episode of pneumonia during the 1 year follow-up period is 2813€. On average, total annual costs increased by 60{\%} to 93{\%} when a patient experienced at least 1 episode of pneumonia. Conclusions NH-acquired pneumonia has a great impact on total cost of care for NH residents. Our results suggest the potential economic savings that could be achieved if pneumonia could be prevented in NHs.",
keywords = "care consumption, Economic cost, nursing home, pneumonia",
author = "Nad{\`e}ge Costa and Michael Mouni{\'e} and Laurent Molinier and Nad{\`e}ge Costa and Michael Mouni{\'e} and Laurent Molinier and Hoogendijk, {Emiel O.} and Yves Rolland and Bruno Vellas and Matteo Cesari and Hoogendijk, {Emiel O.} and Michael Mouni{\'e} and Yves Rolland and Bruno Vellas and Laurent Molinier and Matteo Cesari and Robert Bourrel",
year = "2017",
month = "5",
day = "1",
doi = "10.1016/j.jamda.2017.01.021",
language = "English",
volume = "18",
pages = "453.e7--453.e12",
journal = "Journal of the American Medical Directors Association",
issn = "1525-8610",
publisher = "Elsevier Inc.",
number = "5",

}

Costa, N, Mounié, M, Molinier, L, Costa, N, Mounié, M, Molinier, L, Hoogendijk, EO, Rolland, Y, Vellas, B, Cesari, M, Hoogendijk, EO, Mounié, M, Rolland, Y, Vellas, B, Molinier, L, Cesari, M & Bourrel, R 2017, 'Additional Cost Because of Pneumonia in Nursing Home Residents: Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Resident Study' Journal of the American Medical Directors Association, vol. 18, no. 5, pp. 453.e7-453.e12. https://doi.org/10.1016/j.jamda.2017.01.021

Additional Cost Because of Pneumonia in Nursing Home Residents : Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Resident Study. / Costa, Nadège; Mounié, Michael; Molinier, Laurent; Costa, Nadège; Mounié, Michael; Molinier, Laurent; Hoogendijk, Emiel O.; Rolland, Yves; Vellas, Bruno; Cesari, Matteo; Hoogendijk, Emiel O.; Mounié, Michael; Rolland, Yves; Vellas, Bruno; Molinier, Laurent; Cesari, Matteo; Bourrel, Robert.

In: Journal of the American Medical Directors Association, Vol. 18, No. 5, 01.05.2017, p. 453.e7-453.e12.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Additional Cost Because of Pneumonia in Nursing Home Residents

T2 - Results From the Incidence of Pneumonia and Related Consequences in Nursing Home Resident Study

AU - Costa, Nadège

AU - Mounié, Michael

AU - Molinier, Laurent

AU - Costa, Nadège

AU - Mounié, Michael

AU - Molinier, Laurent

AU - Hoogendijk, Emiel O.

AU - Rolland, Yves

AU - Vellas, Bruno

AU - Cesari, Matteo

AU - Hoogendijk, Emiel O.

AU - Mounié, Michael

AU - Rolland, Yves

AU - Vellas, Bruno

AU - Molinier, Laurent

AU - Cesari, Matteo

AU - Bourrel, Robert

PY - 2017/5/1

Y1 - 2017/5/1

N2 - Objectives Pneumonia is a frequent condition in older people. Our aim was to examine the total healthcare cost related to pneumonia in nursing home (NH) residents over a 1-year follow-up period. Design This was a prospective, longitudinal, observational, and multicenter study that was a part of the Incidence of Pneumonia and related Consequences in Nursing Home Resident study. Setting Thirteen NHs located in Languedoc Roussillon and Midi-Pyrénées regions in France were included. Participants Resident in NH, older than 60 years and had a group iso-resource score ranging from 2 to 5. Measurements Pneumonia events were characterized according to the Observatoire du Risque Infectieux en Geriatrie criteria. Direct medical and nonmedical costs were assessed from the French health insurance perspective. Healthcare resources was retrospectively gathered from the French Social Health Insurance database and valued using the tariffs reimbursed by the French health insurance. Sociodemographic variables, clinical factors, vaccinations, cognition, depression, functional status, frailty index, as well as group iso-resource score were also recorded. Results Among the 800 patients initially included in the Incidence of Pneumonia and Related Consequences in Nursing Home Resident study, 345 which were listed in the database of the French Social Health Insurance were included in this economic study. Among them, 64 (18%) experienced at least 1 episode of pneumonia during the 1-year follow-up period. Mean annual total additional cost for a patient who experienced at least 1 episode of pneumonia during the 1 year follow-up period is 2813€. On average, total annual costs increased by 60% to 93% when a patient experienced at least 1 episode of pneumonia. Conclusions NH-acquired pneumonia has a great impact on total cost of care for NH residents. Our results suggest the potential economic savings that could be achieved if pneumonia could be prevented in NHs.

AB - Objectives Pneumonia is a frequent condition in older people. Our aim was to examine the total healthcare cost related to pneumonia in nursing home (NH) residents over a 1-year follow-up period. Design This was a prospective, longitudinal, observational, and multicenter study that was a part of the Incidence of Pneumonia and related Consequences in Nursing Home Resident study. Setting Thirteen NHs located in Languedoc Roussillon and Midi-Pyrénées regions in France were included. Participants Resident in NH, older than 60 years and had a group iso-resource score ranging from 2 to 5. Measurements Pneumonia events were characterized according to the Observatoire du Risque Infectieux en Geriatrie criteria. Direct medical and nonmedical costs were assessed from the French health insurance perspective. Healthcare resources was retrospectively gathered from the French Social Health Insurance database and valued using the tariffs reimbursed by the French health insurance. Sociodemographic variables, clinical factors, vaccinations, cognition, depression, functional status, frailty index, as well as group iso-resource score were also recorded. Results Among the 800 patients initially included in the Incidence of Pneumonia and Related Consequences in Nursing Home Resident study, 345 which were listed in the database of the French Social Health Insurance were included in this economic study. Among them, 64 (18%) experienced at least 1 episode of pneumonia during the 1-year follow-up period. Mean annual total additional cost for a patient who experienced at least 1 episode of pneumonia during the 1 year follow-up period is 2813€. On average, total annual costs increased by 60% to 93% when a patient experienced at least 1 episode of pneumonia. Conclusions NH-acquired pneumonia has a great impact on total cost of care for NH residents. Our results suggest the potential economic savings that could be achieved if pneumonia could be prevented in NHs.

KW - care consumption

KW - Economic cost

KW - nursing home

KW - pneumonia

UR - http://www.scopus.com/inward/record.url?scp=85018282840&partnerID=8YFLogxK

U2 - 10.1016/j.jamda.2017.01.021

DO - 10.1016/j.jamda.2017.01.021

M3 - Article

VL - 18

SP - 453.e7-453.e12

JO - Journal of the American Medical Directors Association

JF - Journal of the American Medical Directors Association

SN - 1525-8610

IS - 5

ER -