Risk factors for mortality in patients with acquired pneumonia in the community
Keywords:
pneumonia, risk factors, mortalityAbstract
Introduction: the acquired pneumonia in the community is defined as an inflammation of the lung parenchyma by an infectious agent. Objective: to determine the potential risk factors of mortality of different variables. Method: an analytical study was realized of such cases and controls in patients admitted in the Room of Internal Medicine at “Celestino Hernández Robau” Hospital with diagnosis of acquired pneumonia in the community in the period from January to December 2015. Results: the leukopenia and the hypotension detected at admission and ages 60 and older and prolonged bed rest behaved as the most common risk factors associated with mortality. Chronic obstructive pulmonary disease, history of cerebrovascular disease and the presence of neoplasms represent a fourfold increased risk as predictors. Conclusions: other variables such as submitting pneumonia in a shorter period of time than a year, history of ischemic heart disease, heart failure, alcoholism, chronic steroid use, diabetes mellitus, liver cirrhosis, smoking and presence of pleural effusion associated to an increased risk of mortality in relation to the control group, although to a lesser extent than before.
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1. Pérez Cala AE, Viamontes Tapia MN, Benítez Sánchez E, Chang Fong A, Guerra Cepena E. Aplicabilidad clínica del índice de Fine en pacientes con neumonía adquirida en la comunidad. Medisan [Internet]. 2013 [citado 18 Mar2014];17(4):605-616. Disponible en: http://scielo.sld.cu/pdf/san/v17n4/san07413.pdf
2. Torres Martí A, Ferrer Monreal M. Infecciones del aparato respiratorio. En: Farreras Valentí P, Rozman C, Cardellach López F. Farreras-Rozman. Medicina Interna. 17 ed. España: Elsevier; 2012. p.699-711.
3. Limper AH. Neumonías: visión general. En: Goldman L, Schafer AI. Cecil y Goldman. Tratado de medicina interna. 24 ed. España: Elsevier, 2012. p. 591-600.
4. Carpio-Deheza G, Céspedes-Vargas J. Neumonía adquirida en la comunidad: estudio inicial de validación de una escala pronóstica para su empleo en emergencias del Hospital Clínico Viedma. Rev Méd-Cient “Luz vida” [Internet]. 2013 [citado 18 Mar 2014];4(1):17-23.Disponible en: https://dialnet.unirioja.es/descarga/articulo/4699718.pdf
5. Reyes Salazar IS, Venzant Massó M, García Céspedes ME, Miró Rodríguez JM. Tratamiento de pacientes inmunocompetentes con neumonía adquirida en la comunidad. Medisan [Internet]. 2012[citado 18 Mar2014];16(4):581-595. Disponible en: http://scieloprueba.sld.cu/pdf/san/v16n4/san12412.pdf
6. López Véjar CE, Castellanos de la Cruz L, Meraz Ortega R, Román Flores A, Geuguer Chávez L, Pedro González A, et al. Eficacia del levofloxacino en el tratamiento de neumonía adquirida en la comunidad. Med Int Mex [Internet]. 2013 [citado 18 Mar 2014];29(6):587-594. Disponible en: http://www.imbiomed.com/1/1/articulos.php?method=showDetail&id_revista=47&id_seccion=1479&id_ejemplar=9585&id_articulo=98140
7. Vicente L, Pereira L, Sánchez C, Castro P. Neumonía severa adquirida en la comunidad en adultos sin factores de riesgo: a propósito de un caso. CIMEL [Internet]. 2012 [citado 18 Mar2014];17(2):102-106. Disponible en: http://www.redalyc.org/pdf/717/71729116009.pdf
8. Díaz Baquero A, Álvarez Gutiérrez FJ, Romero Falcón A, Medina Gallardo JF. Protocolo de tratamiento empírico de las neumonías adquiridas en la comunidad. Medicine [Internet]. 2010 [citado 18 Mar 2014];10(67):[aprox. 3 p.]. Disponible en: http://anothersample.net/protocolo-de-tratamiento-empirico-de-las-neumonias-adquiridas-en-la-comunidad
9. Reyes Salazar IS, Venzant Massó M, García Céspedes ME, Miró Rodríguez J. Actualización del diagnóstico de la neumonía adquirida en la comunidad. Medisan [Internet]. 2011 [citado 18 Mar2014];15(7):964-974. Disponible en: http://scielo.sld.cu/pdf/san/v15n7/san12711.pdf
10. Menéndez R, Torres A, Aspa J, Capelastegui A, Prat C, Rodríguez de Castro F. Neumonía adquirida en la comunidad. Nueva normativa de la Sociedad Española de Neumología y Cirugía Torácica (SEPAR). Arch Bronconeumol [Internet]. 2010 [citado 18 Mar2014];46(10):543-58. Disponible en: http://www.archbronconeumol.org/es/neumonia-adquirida-comunidad-nueva-normativa/articulo/S0300289610002000/
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