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Prognosis of hospitalized patients with community-acquired pneumonia.
Tokgoz Akyil, F; Yalcinsoy, M; Hazar, A; Cilli, A; Celenk, B; Kilic, O; Sayiner, A; Kokturk, N; Sakar Coskun, A; Filiz, A; Cakir Edis, E.
Afiliação
  • Tokgoz Akyil F; Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Department of Chest Diseases, Istanbul, Turkey. Electronic address: fatmatokgoz86@gmail.com.
  • Yalcinsoy M; Inonu University, Faculty of Medicine, Department of Chest Diseases, Battalgazi/Malatya, Turkey.
  • Hazar A; Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Department of Chest Diseases, Istanbul, Turkey.
  • Cilli A; Akdeniz University, Faculty of Medicine, Department of Chest Diseases, Konyaalti/Antalya, Turkey.
  • Celenk B; Akdeniz University, Faculty of Medicine, Department of Chest Diseases, Konyaalti/Antalya, Turkey.
  • Kilic O; Dokuz Eylul University, Faculty of Medicine, Department of Chest Diseases, Konak/Izmir, Turkey.
  • Sayiner A; Ege University, Faculty of Medicine, Department of Chest Diseases, Bornova/Izmir, Turkey.
  • Kokturk N; Gazi University, Faculty of Medicine, Department of Chest Diseases, Yenimahalle/Ankara, Turkey.
  • Sakar Coskun A; Celal Bayar University, Faculty of Medicine, Department of Chest Diseases, Yunusemre - Manisa, Turkey.
  • Filiz A; Gaziantep University, Faculty of Medicine, Department of Chest Diseases, Sehitkamil/Gaziantep, Turkey.
  • Cakir Edis E; Trakya University, Faculty of Medicine, Department of Chest Diseases, Iskender Köyü/Edirne Merkez/Edirne, Turkey.
Pulmonology ; 2018 Feb 17.
Article em En | MEDLINE | ID: mdl-29463455
INTRODUCTION: The long-term prognosis of patients with community-acquired pneumonia (CAP) has attracted increasing interest in recent years. The objective of the present study is to investigate the short and long-term outcomes in hospitalized patients with CAP and to identify the predictive factors associated with mortality. PATIENTS AND METHODS: The study was designed as a retrospective, multicenter, observational study. Hospitalized patients with CAP, as recorded in the pneumonia database of the Turkish Thoracic Society between 2011 and 2013, were included. Short-term mortality was defined as 30-day mortality and long-term mortality was assessed from those who survived 30 days. Predictive factors for short- and long-term mortality were analyzed. RESULTS: The study included 785 patients, 68% of whom were male and the mean age was 67±16 (18-92). The median duration of follow-up was 61.2±11.8 (37-90) months. Thirty-day mortality was 9.2% and the median survival of patients surviving 30 days was 62.8±4.4 months. Multivariate analysis revealed that advanced age, the absence of fever, a higher Charlson comorbidity score, higher blood urea nitrogen (BUN)/albumin ratios and lower alanine aminotransferase (ALT) levels were all predictors of long-term mortality. CONCLUSION: Long-term mortality following hospitalization for CAP is high. Charlson score and lack of fever are potential indicators for decreased long-term survival. As novel parameters, baseline BUN/albumin ratios and ALT levels are significantly associated with late mortality. Further interventions and closer monitoring are necessary for such subgroups of patients.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Observational_studies / Prognostic_studies Idioma: En Revista: Pulmonology Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Observational_studies / Prognostic_studies Idioma: En Revista: Pulmonology Ano de publicação: 2018 Tipo de documento: Article