title: Mortality reduction in adult community-acquired pneumonia in the UK (2009-2014): results from the British Thoracic Society audit programme.
abstract: Community-acquired pneumonia (CAP) is a leading cause of death in the UK. In this analysis of 23 315 cases from the British Thoracic Society national CAP audit, an overall reduction in 30-day inpatient mortality over 6 years was observed-2014 compared with 2009 adjusted OR 0.86 (95% CI 0.68 to 1.08, p for trend 0.004). Significant increases in the proportions of patients who had (a) a chest X-ray and (b) the first antibiotic dose within 4 hours of admission were also observed (3.7% and 11.5% increases respectively). Further reductions in mortality may follow the 2016 National Institute for Health and Care Excellence Pneumonia Quality Standard.
authors.affiliation: Department of Respiratory Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: Priya
authors.initials: P
authors.lastname: Daniel
authors.affiliation: Department of Respiratory Medicine, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
authors.forename: Mark
authors.initials: M
authors.lastname: Woodhead
authors.affiliation: British Thoracic Society, London, UK.
authors.forename: Sally
authors.initials: S
authors.lastname: Welham
authors.affiliation: Division of Epidemiology, University of Nottingham, Nottingham, UK.
authors.forename: Tricia M
authors.initials: TM
authors.lastname: Mckeever
authors.affiliation: Department of Respiratory Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: Wei Shen
authors.initials: WS
authors.lastname: Lim
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017714:Community-Acquired Infections / Q000401:mortality* / Q000628:therapy; D005260:Female; D017052:Hospital Mortality / Q000639:trends*; D006760:Hospitalization; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D011014:Pneumonia / Q000401:mortality* / Q000628:therapy; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care; D013902:Radiography, Thoracic / Q000706:statistics & numerical data; D012720:Severity of Illness Index; D006113:United Kingdom / Q000453:epidemiology
chemical_list: D000900:Anti-Bacterial Agents
keywords: Clinical Epidemiology; Pneumonia; Respiratory Infection