Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal : 2000–2014

Detalhes bibliográficos
Autor(a) principal: Pessoa, Ezequiel
Data de Publicação: 2020
Outros Autores: Bárbara, Cristina, Viegas, Laura, Costa, Andreia, Rosa, Matilde, Nogueira, Paulo Jorge
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/41354
Resumo: © The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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spelling Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal : 2000–2014Community-acquired pneumoniaIn-hospital mortalityPortugal© The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.Background: Community-acquired pneumonia (CAP) is one of the leading causes of morbidity and mortality worldwide, often leading to hospital admissions. In Portugal, the factors associated with in-hospital mortality due to CAP are not fully documented. The aim of this study was to characterize the trends of CAP hospitalization in all age groups and the factors associated with their mortality between 2000 and 2014. Methods: We conducted a cross-sectional study using CAP hospitalization data in all age groups, in Portugal Mainland. Logistic regression was used to identify the factors associated with in-hospital mortality. Results: Between 2001 and 2011, CAP hospitalization rate increased from 2.8 to 4.3 per 1000 population. Hospitalization rates were higher in the extreme ages ( ≤ 4 and ≥ 75 years). However, a decrease in the hospitalization rate and its mortality was observed, in the younger ages. A total of 548,699 hospitalization CAP episodes, between 2000 and 2014, were analyzed, with male (56.2%) and elderly ≥65 years (91.7%) predominance, resulting in 101,740 deaths (18.5%). Men had a significantly lower mean age (64.3 ± 26.4 years versus 67.9 ± 27.5 years; p < 0.001). During the studied 15 years, there was an increase of 45.2% in the number of annual hospitalizations, concomitant with the admission increase of individuals aged over 75 years. Since 2012 a decrease in hospitalizations and associated deaths were detected. The increase in age represented a progressive and significant rise in the probability of death, except for the age group 1–4 years. The age group ≥85 years old (Adjusted OR = 124.256; 95%CI: 97.838–157.807) and males (Adjusted OR = 1.261; 95%CI: 1.243–1.280) were significantly associated with death risk for CAP hospitalization. After 2010, this risk decreased (Adjusted OR = 0.961; 95%CI: 0.940–0.982). The main factors affecting mortality were age, sex, unemployment rate, number of performed procedures and admission quinquennia. Conclusions: Despite a trend of decrease in CAP hospitalizations and associated death since 2012, the numbers of in-hospital mortality showed, in the 15 years under analysis, an overall increase over time, mainly associated with age, in particular very old people ( ≥ 75 years), males and a higher parish unemployment rate. Therefore, the implementation of CAP preventive measures should be reinforced in these vulnerable groups.This publication was funded by Fundação para a Ciência e a TecnologiaBMCRepositório da Universidade de LisboaPessoa, EzequielBárbara, CristinaViegas, LauraCosta, AndreiaRosa, MatildeNogueira, Paulo Jorge2020-01-23T15:09:52Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/41354engBMC Pulm Med 20, 18 (2020)10.1186/s12890-019-1045-x1471-2466info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:40:44Zoai:repositorio.ul.pt:10451/41354Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:54:38.001330Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal : 2000–2014
title Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal : 2000–2014
spellingShingle Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal : 2000–2014
Pessoa, Ezequiel
Community-acquired pneumonia
In-hospital mortality
Portugal
title_short Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal : 2000–2014
title_full Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal : 2000–2014
title_fullStr Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal : 2000–2014
title_full_unstemmed Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal : 2000–2014
title_sort Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal : 2000–2014
author Pessoa, Ezequiel
author_facet Pessoa, Ezequiel
Bárbara, Cristina
Viegas, Laura
Costa, Andreia
Rosa, Matilde
Nogueira, Paulo Jorge
author_role author
author2 Bárbara, Cristina
Viegas, Laura
Costa, Andreia
Rosa, Matilde
Nogueira, Paulo Jorge
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Pessoa, Ezequiel
Bárbara, Cristina
Viegas, Laura
Costa, Andreia
Rosa, Matilde
Nogueira, Paulo Jorge
dc.subject.por.fl_str_mv Community-acquired pneumonia
In-hospital mortality
Portugal
topic Community-acquired pneumonia
In-hospital mortality
Portugal
description © The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
publishDate 2020
dc.date.none.fl_str_mv 2020-01-23T15:09:52Z
2020
2020-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/41354
url http://hdl.handle.net/10451/41354
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv BMC Pulm Med 20, 18 (2020)
10.1186/s12890-019-1045-x
1471-2466
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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