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- Title
Factores relacionados con la letalidad en pacientes con neumonía adquirida en la comunidad hospitalizados.
- Authors
Corona Martínez, Luis Alberto; Morales, Iris González; Fragoso Marchante, María Caridad; de los Santos, Héctor Cruz
- Abstract
Foundation: acquired pneumonia is an important health problem in many countries including Cuba. Objective: to determine the main factors related to lethality, in admitted patients with pneumonia acquired in the community. Method: prospective study of case series, with correlational descriptive design; a number of 521 admitted patients were studied between April the 1st 2016 and March 31st 2018. The information was obtained from clinical records, grouped in four variable categories: those related to patient´s conditions, to pathological process, analytic and therapeutic intervention. For the statistical analysis it was used odds ratio (OR) and confidence interval. Results: lethality was higher in patients older than 75 years (40 %); in patients previously laid in bed (47 % vs 22 %), in cases with chronic diseases (31 % vs 18 %), and those with history of cardio-sclerosis (35 % vs 24 %) and dementia (50 % vs 26 %). In addition, there was an association between lethality and severity of the disease on admission, extension of the lesions on thoracic x-ray over a lobule limit and lying in bed during admission. Conclusion: the importance of factors related to the patient's conditions is confirmed, the morbid process itself with lab tests and therapeutic intervention, in the final evolution of the patient with community acquired pneumonia.
- Publication
MediSur, 2021, Vol 19, Issue 1, p42
- ISSN
1727-897X
- Publication type
Article