| Autor: |
Chirine Moussa, Alia Ezzaouia, Ibtihel Khouaja, Ines Zendah, Amel Khattab, Wajih Ghribi, Amal Chanoufi, Houda Rouis, Habib Ghedira |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Respiratory infections. |
| DOI: |
10.1183/13993003.congress-2020.3100 |
| Popis: |
Various scores have been used to predict the severity of community-acquired pneumonia (CAP). A quick recognition of the severe forms is an essential step in the management of CAP. A simple blood gas analysis could be helpful in the assessment of those forms. To determine whether the presence of hypercapnia on admission in adult patients with community-acquired pneumonia (CAP) correlates with an increased severity compared with no hypercapnia on admission. A retrospective study that included patients admitted for CAP in the Pulmonology I department in Abderraman Mami Hospital for the last 8 years. Based on arterial PaCO2 levels in the arterial blood gas analysis, patients were divided into three groups: hypocapnic (PaCO2 45 mm Hg) and normocapnic (PaCO2 A total of 100 patients were enrolled. The mean age was 59.8 ±18.5 years. hypercapnia was found in 19% of patients. Age had a significant impact between the groups (p=0.003). Hypercapnic patients had a higher PSI score (115±34.1; p=0.006) a higher CURB-65 score (2.05±1.35; p=0.001) and more acute respiratory failure (94%; p In our study, hypercapnia on admission is associated with severity of CAP. It should be considered as an essential marker to identify the severity of the illness and a determinant of patients who will need a higher level of care. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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