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Hospitalised Community Acquired Pneumonia before & during the COVID-19 pandemic

Population Size

3,669

People

Population Size statistic card

Years

2019 - 2021

Years statistic card

Associated BioSamples

None/not available

Associated BioSamples statistic card

Geographic coverage

United Kingdom

England

Geographic coverage statistic card

Lead time

1-2 months

Lead time statistic card

Summary

Patients hospitalised with community acquired pneumonia (CAP) before and during COVID-19 pandemic. Granular care pathways. Multi-morbidity, investigations, interventions and treatments. Serial physiology, blood biomarkers, outcome data. Deeply phenotyped.

Documentation

Community acquired pneumonia (CAP) is a leading cause of hospital admission, and in older adults has high rates of mortality and complications. CAP is associated with increased long-term mortality and loss of independence for older adults. CAP typically affects older adults with co-morbidities- a group who have largely shielded throughout the winter period. This seems to have reduced rates of transmissible disease in vulnerable people. Complications such as sepsis, and empyema (infected fluid around the lung) prolong hospital admission, result in additional interventions in hospital and have higher mortality than CAP alone. The causative agents for CAP are often poorly identified in real world clinical practice. These data allow the investigation of the different ways in which COVID-19 has impacted on existing health conditions, how often causative agents were identified in real-world practice and the sensitivities of the bacteria, which antibiotics were used and patient outcomes.

PIONEER geography The West Midlands (WM) has a population of 5.9 million & includes a diverse ethnic & socio-economic mix (42% non-white within Birmingham).

EHR. UHB is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & an expanded 250 ITU bed capacity during COVID. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems), a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”.

Scope: All hospitalised patients admitted to UHB before and during the COVID-19 pandemic, curated to focus on Community Acquired Pneumonia. Longitudinal & individually linked, so that the preceding & subsequent health journey can be mapped & healthcare utilisation prior to & after admission understood. The dataset includes highly granular patient demographics & co-morbidities taken from ICD-10 & SNOMED-CT codes. Serial, structured data pertaining to process of care (timings, admissions, readmissions and discharge outcomes, physiology readings (heart rate, blood pressure, NEWS2 score, SEWS score, AVPU score), blood results and flags for microbiology and surgical data. Comparing the burden of hospitalised community acquired pneumonia (CAP) before and during COVID-19 pandemic.

Available supplementary data: Matched controls; ambulance, synthetic data.

Available supplementary support: Analytics, Model build, validation & refinement; A.I.; Data partner support for ETL (extract, transform & load) process, Clinical expertise, Patient & end-user access, Purchaser access, Regulatory requirements, Data-driven trials, “fast screen” services.

Dataset type

Health and disease, Treatments/Interventions

Dataset sub-type

Respiratory

Dataset population size

3669

Keywords

Observations

Observed Node

Disambiguating Description

Measured Value

Measured Property

Observation Date

Persons

3,669 CAP spells in this dataset from 2019-09-01 to 2020-01-31 and 2020-09-01 to 2021-01-31

3669

Count

13 May 2021

Provenance

Purpose of dataset collection

Care

Source of data extraction

EPR

Collection source setting

Secondary care - Accident and Emergency, Secondary care - Outpatients, Secondary care - In-patients

Patient pathway description

Data is representative of the multi-ethnicity population within the West Midlands (42% non white). Data includes all patients admitted during this timeframe, with National data Opt Outs applied, and therefore is representative of admissions to secondary care. Data focuses on in-patient stay in hospital during the acute episode but can be supplemented on request to include previous and subsequent hospital contacts (including outpatient appointments) and ambulance, 111, 999 data.

Image contrast

Not stated

Biological sample availability

None/not available

Structural Metadata

Details

Publishing frequency

Quarterly

Version

1.0.0

Modified

08/10/2024

Distribution release date

13/05/2021

Citation Requirements

This publication uses data from PIONEER, an ethically approved database and analytical environment (East Midlands Derby Research Ethics 20/EM/0158)

Coverage

Start date

31/08/2019

End date

31/01/2021

Time lag

Other

Geographic coverage

United Kingdom, England, West Midlands

Minimum age range

18

Maximum age range

110

Follow-up

1 - 10 Years

Accessibility

Language

en

Alignment with standardised data models

LOCAL

Controlled vocabulary

SNOMED CT, ICD10

Format

SQL

Data Access Request

Dataset pipeline status

Available

Time to dataset access

1-2 months

Access request cost

www.pioneerdatahub.co.uk/data/data-services-costs/

Access method category

TRE/SDE

Access service description

Trusted Research Environments (TRE) are built using Microsoft Azure services and hosted in the UK to provide research teams a safe, secure and agile environment which allows users to quickly analyse, interpret and form an enriched view of primary care information through a range of integrated datasets.

Health data collated from multiple sources is ingested into a secure data lake which will then allow subsets of data to be made available to research teams on approval of a data request. Once approved a customer specific TRE is made available with a standard set of leading analytical tools from Microsoft including Azure Databricks, Azure Machine Learning, Azure SQL and Azure Synapse (for large-scale data warehouses). Specific tools can be provided at an additional cost over the standard platform data access charge and the PIONEER team will work with you to determine your exact needs.

Access to the TRE is managed using the latest virtual desktop technology to provide a safe and secure end-user experience. By utilising leading edge design PIONEER are able to create TREs rapidly to enable us to service any customer requirement.

Jurisdiction

GB-ENG

Data use limitation

General research use

Data use requirements

Project-specific restrictions

Data Controller

University Hospitals Birmingham NHS Foundation Trust

Dataset Types: Health and disease, Treatments/Interventions

Dataset Sub-types: Respiratory


Collection Sources: Secondary care - Accident and Emergency, Secondary care - Outpatients, Secondary care - In-patients

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