Prognosis factors and outcome of community-acquired pneumonia needing mechanical ventilation

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dc.contributor.authorTejerina, E
dc.contributor.authorFrutos Vivar, F
dc.contributor.authorRestrepo, MI
dc.contributor.authorAnzueto, A
dc.contributor.authorPalizas, F
dc.contributor.authorGonzalez, M
dc.contributor.authorApezteguia, C
dc.contributor.authorAbroug, F
dc.contributor.authorMatamis, D
dc.contributor.authorBugedo, G
dc.contributor.authorEsteban, A
dc.contributor.authorInt Mech Ventilation Study Grp
dc.date.accessioned2024-01-10T13:16:42Z
dc.date.available2024-01-10T13:16:42Z
dc.date.issued2005
dc.description.abstractPurpose: To evaluate the variables associated with mortality of patients with community-acquired pneumonia who require mechanical ventilation and to determine the attributable morbidity and intensive care unit (ICU) mortality of community-acquired pneumonia.
dc.description.abstractMaterial and Methods: Retrospective cohort study carried out in 361 ICUs from 20 countries including 124 patients who required mechanical ventilation on the first, day of admission to the hospital due to acute respiratory failure secondary to severe community-acquired pneumonia. To assess the factors associated with outcome, a forward stepwise logistic regression analysis was performed, and to determine the attributable mortality of community-acquired pneumonia, a matched study design was used.
dc.description.abstractResults: We found 3 independent variables significantly associated with death in patients with community-acquired pneumonia requiring mechanical ventilation: simplified acute physiological score greater than 45 (odds ratio, 5.5 [95% confidence interval, 1.7-12.3]), shock (odds ratio, 5.7 [95% confidence interval, 1.7-10.1]), and acute renal failure (odds ratio, 3.0 [95% confidence interval,1.1-4.0]). There was no statistically significant difference in ICU mortality among patients with or without community-acquired pneumonia (32% vs 35%; P =.59).
dc.description.abstractConclusions: Community-acquired pneumonia needing mechanical ventilation is not a disease associated with higher mortality. The main determinants of patient outcome were initial severity of illness and the development of shock and/or acute renal failure. (c) 2005 Elsevier Inc. All rights reserved.
dc.fechaingreso.objetodigital27-03-2024
dc.format.extent9 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.jcrc.2005.05.010
dc.identifier.eissn1557-8615
dc.identifier.issn0883-9441
dc.identifier.pubmedidMEDLINE:16253791
dc.identifier.urihttps://doi.org/10.1016/j.jcrc.2005.05.010
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/78606
dc.identifier.wosidWOS:000233277600006
dc.information.autorucMedicina;Bugedo G;S/I;60490
dc.issue.numero3
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final238
dc.pagina.inicio230
dc.publisherW B SAUNDERS CO-ELSEVIER INC
dc.revistaJOURNAL OF CRITICAL CARE
dc.rightsacceso restringido
dc.subjectcommunity-acquired pneumonia
dc.subjectmechanical ventilation
dc.subjectintensive care unit
dc.subjectPREDICTION RULE
dc.subjectETIOLOGY
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titlePrognosis factors and outcome of community-acquired pneumonia needing mechanical ventilation
dc.typeartículo
dc.volumen20
sipa.codpersvinculados60490
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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