Clinical, epidemiological, and etiological profile of inpatients with community-acquired pneumonia in a public hospital in the interior of Brazil.
Laura Fuchs BahlisLuciano Passamini DiogoRicardo de Souza KuchenbeckerSandra Costa FuchsPublished in: Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia (2019)
Urea, Respiratory rate, Blood pressure, and age > 65 years (CURB-65) score > 2 (OR: 1.46; 95% CI: 1.09-1.98). The mean time from patient arrival at the emergency room to initiation of antibiotic therapy was 10 h. Conclusions: The in-hospital mortality rate of 15.5% and the need for ICU admission in almost one third of the patients reflect the major impact of CAP on patients and the health care system. Individuals with a high burden of comorbidities, a high CURB-65 score, and a need for mechanical ventilation had a worse prognosis. Measures to reduce the time to initiation of antibiotic therapy may result in better outcomes in this group of patients.
Keyphrases
- end stage renal disease
- ejection fraction
- blood pressure
- chronic kidney disease
- mechanical ventilation
- newly diagnosed
- healthcare
- peritoneal dialysis
- emergency department
- prognostic factors
- public health
- type diabetes
- adipose tissue
- acute respiratory distress syndrome
- skeletal muscle
- bone marrow
- adverse drug
- replacement therapy