Community-acquired pneumonia in adult patients admitted to Horta hospital

• Autor(a) principal: Susano, Rui
• Data de Publicação: 1998
• Outros Autores: Pinto, Fátima, Goulart, António, Maia, João, Ponte, Teresa, Kumar, Kiran, Câmara, Jorge
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://revista.spmi.pt/index.php/rpmi/article/view/2100
• topic: pneumonia; factores prognós­ticos; mortalidade; pneumonia; prognostic factors; mortality

The aim of this study was to acquire the clini­cal and analytical data in adult patients with community-acquired pneumonia requiring hos­ pitalization, and to evaluate the prognostic in­ fluence on mortality of parameters avaliable in an emergency unit of a small regional hospital. A 4-year study (1990-93), including all patients consecutively admitted with a diagnosis of com­ munity-acquired pneumonia selected by retros­ pective review ofthe Hospital da Horta records, was performed. Clinical analytical and demogra­phic data, avaliable on admission and recorded in the medical records, were analyzed. Using lo­ gistic regressions the prognostic factors from medical data recorded on admission that sho­ wed a univariate association with mortality were analyzed. Eighty-eight patients were included in the stu­dy, representing 4 percent of all admissions in the Department of Internal Medicine. Three ca­ses per 1.000 habitants were admitted in 1990, and this ratio decreased to 1,5 /1.000 habitants in 1993. The mean age was 64 +17 (r(lflge: 20-92); 41% were males and 59% werefemales. Se­ven patients (8 per cent) died because of respi­ ratory failure or sepsis. The prognostic factors associated with mortality were: chronic ethanol intake, kucocytes >15 x109/L,glucose > 6,8mmol/ L, urea nitrogen >7,2 mmol/L, creatinine >110 mmol/L, LDH >350 U/L, AST >40 U/L, pH <7,30, PaO2 < 7,33 kPa and PaCO2 >6 kPa. ln the multi­ variant analysis elevation in PaCO2 and LDH, remained significant.