Factors predicting in‐hospital mortality among patients admitted with community acquired pneumonia at a tertiary care hospital Karachi, Pakistan

Autor:	Verda Arshad, Nousheen Iqbal, Muhammad Irfan, Ali Bin Sarwar Zubairi, Faraz Siddique
Rok vydání:	2020
Předmět:	Male Pulmonary and Respiratory Medicine Staphylococcus aureus medicine.medical_specialty Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine Community-acquired pneumonia Risk Factors Internal medicine medicine Humans Immunology and Allergy Pakistan In patient Hospital Mortality 030212 general & internal medicine Genetics (clinical) Aged Retrospective Studies Aged 80 and over Univariate analysis In hospital mortality Tertiary Healthcare business.industry Retrospective cohort study Pneumonia Middle Aged Tertiary care hospital medicine.disease CURB-65 Community-Acquired Infections Hospitalization Survival Rate Streptococcus pneumoniae 030228 respiratory system Female business
Zdroj:	The Clinical Respiratory Journal. 14:328-334
ISSN:	1752-699X 1752-6981
DOI:	10.1111/crj.13137
Popis:	INTRODUCTION Community Acquired Pneumonia (CAP) is associated with significant morbidity and mortality globally, but unfortunately there is limited data available from South East Asia. OBJECTIVE To determine the risk factors associated with in-hospital mortality in patients with CAP in a tertiary care hospital of Pakistan. METHODS A retrospective study was conducted on adult patients admitted with a diagnosis of CAP from January 2011 till December 2016. Their clinical records were reviewed and a multivariable analysis was done to determine the factors associated with in-hospital mortality. RESULTS A total of 1100 files were reviewed, of which 509 were included in the analysis. The mean age was 63.6 ± 16.5 years and 302 (52.16%) were males. The most Common isolated pathogen was Staphylococcus aureus (23%). Overall mortality was 10.8%. On univariate analysis factors associated with mortality were old age patients (P = 0.02); history of pneumonia in last 12 months (P = 0.008); CURB 65 score ≥ 3 (P
Databáze:	OpenAIRE
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