Community acquired pneumonia (CAP) is a common causes of hospital admission with admission rates rising, especially in more socioeconomically deprived communities. Guideline adherence in CAP reduces hospital stay, is a vital part of effective antibiotic stewardship, and has been associated with lower mortality. However, adherence to guidelines in CAP is poor; it occurs for less than half of patients. Therefore, there is a significant opportunity to improve patient outcomes and broader public health outcomes by improving prescribing in CAP.
This dataset has been curated by PIONEER for the NIHR Midlands PSRC and includes admissions from 2018 to 2024. It includes 31,417 patients admitted for CAP with demographics, comorbidities, Vital signs (blood pressure, respiratory rate, heart rate, temperature, BMI, NEWS2 Spo2 scale and others), assessments (MMS, AMT10, Continence assessment and Waterlow assessment), lab sample results (full blood count, liver function tests, urea & electrolytes, bone profile, coagulation, inflammatory markers and others), imaging, medications, intensive care admissions, sputum and blood culture results, mortality and readmissions.
Geography: The West Midlands (WM) has a population of 6 million & includes a diverse ethnic & socio-economic mix. 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 & > 120 ITU bed capacity. 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”.
Data set availability: Data access is available via the PIONEER Hub for projects which will benefit the public or patients. This can be by developing a new understanding of disease, by providing insights into how to improve care, or by developing new models, tools, treatments, or care processes. Data access can be provided to NHS, academic, commercial, policy and third sector organisations. Applications from SMEs are welcome. There is a single data access process, with public oversight provided by our public review committee, the Data Trust Committee. Contact [email protected] or visit www.pioneerdatahub.co.uk for more details.
Available supplementary data: Matched controls; ambulance and community data. Unstructured data (images). We can provide the dataset in OMOP and other common data models and can build synthetic data to meet bespoke requirements.
Available supplementary support: Analytics, model build, validation & refinement; A.I. support. Data partner support for ETL (extract, transform & load) processes. Bespoke and “off the shelf” Trusted Research Environment (TRE) build and run. Consultancy with clinical, patient & end-user and purchaser access/ support. Support for regulatory requirements. Cohort discovery. Data-driven trials and “fast screen” services to assess population size.
Further information including technical details, coverage, format and standards, provenance and related resources can be found on the link below: https://healthdatagateway.org/en/dataset/1108
