Pneumonia mortality, comorbidities matter?

Detalhes bibliográficos
Autor(a) principal: Hespanhol, Venceslau
Data de Publicação: 2020
Outros Autores: Bárbara, Cristina
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/44336
Resumo: © 2020 Sociedade Portuguesa de Pneumologia. Published by Elsevier España, S.L.U.
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spelling Pneumonia mortality, comorbidities matter?Hospitalized pneumonia mortalityComorbiditiesRisk model© 2020 Sociedade Portuguesa de Pneumologia. Published by Elsevier España, S.L.U.Pneumonia remains one of the most important causes of mortality. In Portugal, it is the first cause of respiratory death, excluding lung cancer. This is a retrospective cohort study designed to seek for explanations, identifying the characteristics of patients and measure the impact of each one of them on the risk of dying from pneumonia. We analyzed demographic and clinical data of all patients (pts) with 18 years or older with pneumonia requiring hospitalization registered on the national health service registry of mainland Portugal over 2015. A total of 36366 patients corresponding to 40696 pneumonia hospital admissions in 2015 were analyzed. Most of the patients were very old (median age 80 years). Hospital mortality for pneumonia was higher among older (30,3% pts>75 years). Pneumococcus is the more frequent bacterial isolate, reaching 41.2% of the isolates of total pneumonia cases. The frequency of pneumococcus decreases with aging; conversely, gram-negative bacteria and staphylococcus increase. Pneumococcus is more frequently identified in the winter, closely related to influenza outbreaks. Gram-negative bacteria are more prevalent during the summer months. Diabetes, obesity, COPD, and tobacco smoking are not associated with an increased risk of dying from pneumonia. Patients older than 75 years; living in a senior house; or with chronic renal disease, lung cancer, metastatic disease, mobility impairment, cachexia, dementia, cerebrovascular disease, and ischemic heart disease are at greater risk of dying from pneumonia. Comorbidities contribute decisively to the risk of dying from pneumonia in the hospital, regardless of their type or origin.ElsevierRepositório da Universidade de LisboaHespanhol, VenceslauBárbara, Cristina2020-09-09T11:28:48Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/44336engPulmonol. 2020;26(3):123-1292531-043710.1016/j.pulmoe.2019.10.003info: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:RCAAP2023-11-08T16:45:20Zoai:repositorio.ul.pt:10451/44336Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:56:56.595816Repositório 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 Pneumonia mortality, comorbidities matter?
title Pneumonia mortality, comorbidities matter?
spellingShingle Pneumonia mortality, comorbidities matter?
Hespanhol, Venceslau
Hospitalized pneumonia mortality
Comorbidities
Risk model
title_short Pneumonia mortality, comorbidities matter?
title_full Pneumonia mortality, comorbidities matter?
title_fullStr Pneumonia mortality, comorbidities matter?
title_full_unstemmed Pneumonia mortality, comorbidities matter?
title_sort Pneumonia mortality, comorbidities matter?
author Hespanhol, Venceslau
author_facet Hespanhol, Venceslau
Bárbara, Cristina
author_role author
author2 Bárbara, Cristina
author2_role author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Hespanhol, Venceslau
Bárbara, Cristina
dc.subject.por.fl_str_mv Hospitalized pneumonia mortality
Comorbidities
Risk model
topic Hospitalized pneumonia mortality
Comorbidities
Risk model
description © 2020 Sociedade Portuguesa de Pneumologia. Published by Elsevier España, S.L.U.
publishDate 2020
dc.date.none.fl_str_mv 2020-09-09T11:28:48Z
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/10451/44336
url http://hdl.handle.net/10451/44336
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Pulmonol. 2020;26(3):123-129
2531-0437
10.1016/j.pulmoe.2019.10.003
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 Elsevier
publisher.none.fl_str_mv Elsevier
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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