+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

General practitioners' contribution to the management of community-acquired pneumonia in the Netherlands: a retrospective analysis of primary care, hospital, and national mortality databases with individual data linkage



General practitioners' contribution to the management of community-acquired pneumonia in the Netherlands: a retrospective analysis of primary care, hospital, and national mortality databases with individual data linkage



Primary Care Respiratory Journal 22(4): 400-405



Community-acquired pneumonia (CAP) is an important cause of hospital admission and death, but the extent of the problem of CAP at the primary healthcare level is largely unknown. To investigate the contribution of general practitioners (GPs) to the management of patients with CAP in the Netherlands. The study population consisted of all people enlisted in a GP network. We obtained information on CAP episodes from GP electronic records (using ICPC code R81) during the years 2002-2009. CAP registrations were also obtained from national hospital discharge data (ICD-9 codes) and cause of death statistics (ICD-10 codes). The three registration systems were linked at the individual level. We used descriptive analyses to estimate the annual number of CAP episodes (i.e. defined as a CAP diagnosis within 30 days). From 2002 to 2009 the mean annual size of the study population was 395,039. For this population, 3,700 (0.9%) CAP episodes per year were registered in at least one of the registration systems, 2,933 (79%) of which were in the GP system only. Recovery within 30 days occurred on average in 95% (2,791/2,933) of the CAP episodes annually registered by a GP, while 2.3% (67/2,933) of patients with a GP-registered CAP episode were admitted to hospital within 30 days and 1% (26/2,933) had a fatal outcome within 30 days. The vast majority of CAP episodes registered in the Netherlands are managed successfully at the GP level without hospitalisation.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 053369911

Download citation: RISBibTeXText

PMID: 24042173

DOI: 10.4104/pcrj.2013.00085


Related references

Primary care summary of the British Thoracic Society Guidelines for the management of community acquired pneumonia in adults: 2009 update. Endorsed by the Royal College of General Practitioners and the Primary Care Respiratory Society UK. Primary Care Respiratory Journal 19(1): 21-27, 2010

Usefulness of the Japanese Respiratory Society guidelines for community pneumonia: a retrospective analysis of community-acquired pneumonia between 2000 and 2002 in a general hospital. Respirology 10(2): 208-214, 2005

Admission via the emergency department in relation to mortality of adults hospitalised with community-acquired pneumonia: an analysis of the British Thoracic Society national community-acquired pneumonia audit. Emergency Medicine Journal 32(1): 55-59, 2015

Management of patients with community-acquired pneumonia in a primary care hospital: a critical evaluation. Respiratory Medicine 94(6): 556-563, 2000

Development of a risk-adjusted in-hospital mortality prediction model for community-acquired pneumonia: a retrospective analysis using a Japanese administrative database. Bmc Pulmonary Medicine 14: 203, 2014

Management of community-acquired pneumonia by trained family general practitioners. International Journal of Tuberculosis and Lung Disease 12(1): 19-25, 2008

Clinical evaluation of the management of community-acquired pneumonia by general practitioners in France. Chest 120(1): 185-192, 2001

Hospital admission, duration of stay and mortality in community-acquired pneumonia in an acute care hospital. Correlation between a pneumonia prognosis index and conventional clinical criteria for assessing severity. Enfermedades Infecciosas Y Microbiologia Clinica 22(2): 64-69, 2004

Access to primary care and the route of emergency admission to hospital: retrospective analysis of national hospital administrative data. Bmj Quality and Safety 25(6): 432-440, 2016

Dyspepsia management in primary care in The Netherlands: to what extent is Helicobacter pylori diagnosis and treatment incorporated? Results from a survey among general practitioners in The Netherlands. Digestion 64(1): 40-45, 2001

A retrospective analysis of community-acquired pneumonia between 2000 and 2002 in a community hospital. Nihon Kokyuki Gakkai Zasshi 42(1): 68-74, 2004

Retrospective Assessment of Time to Being Dischargeable From Hospital for Community Acquired Pneumonia (CAP) Using Data From the FOCUS Trials. Chest Journal 144(4): 267a-267b, 2013

Agreement in dry eye management between optometrists and general practitioners in primary health care in the Netherlands. Contact Lens and Anterior Eye 38(4): 283-293, 2015

Management of Community-Acquired Pneumonia in One Hospital Compared with a National Benchmark Database. Hospital Pharmacy 38(4): 351-356, 2003

Early Rehabilitation and In-Hospital Mortality in Intensive Care Patients With Community-Acquired Pneumonia. American Journal of Critical Care 27(2): 97, 2018