Factores pronósticos, evolución y mortalidad en el adulto inmunocompetente hospitalizado por neumonía neumocócica adquirida en la comunidad

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dc.catalogadorpau
dc.contributor.authorSaldías Peñafiel, Fernando
dc.contributor.authorViviani García, Paola
dc.contributor.authorPulgar B., Dahiana
dc.contributor.authorValenzuela Flores, Francisco Felipe
dc.contributor.authorParedes Engber, Sebastián
dc.contributor.authorDíaz Patiño, Orlando
dc.date.accessioned2023-07-21T17:46:11Z
dc.date.available2023-07-21T17:46:11Z
dc.date.issued2009
dc.description.abstractBackground: Streptococcus pneumoniae is the main cause of community-acquired pneumonia in adults. Aim: To describe baseline characteristics, risk factors and clinical outcomes of adult patients hospitalized with pneumococcal pneumonia. Material and methods: Prospective study of adult patients admitted for a community acquired pneumonia in a clinical hospital. Immune deficient patients and those with a history of a recent hospitalization were excluded. Results: One hundred fifty one immuno-competent patients, aged 16 to 92 years, 58% males, were studied. Seventy-five percent had other diseases, 26% were admitted to the intensive care unit and 9% needed mechanical ventilation. There were no differences in clinical features, ICU admission or hospital length of stay among bacteremic and non-bacteremic patients. Thirty days lethality for bacteremic and non-bacteremic patients was 10.9% and 11.5%, respectively. The predictive values for lethality of Fine pneumonia severity index and CURB-65 (Confusion, Urea nitrogen, Respiratory rate, Blood pressure, 65 years of age and older) had an area under the ROC curve of 0.8 and 0.69, respectively. Multivariate analysis disclosed blood urea nitrogen over 30 mg/ dL (odds ratio (OR), 6.8), need for mechanical ventilation (OR, 7.4) and diastolic blood pressure below 50 mmHg (OR, 3.9), as significant independent predictors of death. Conclusions: Pneumococcal pneumonia was associated with a substantial rate of complications and mortality. Clinical presentation and outcome did not differ significantly among patients with and without bacteremia.
dc.fechaingreso.objetodigital2023-07-21
dc.format.extent8 páginas
dc.fuente.origenORCID
dc.identifier.doi10.4067/S0034-98872009001200001
dc.identifier.issn0034-9887
dc.identifier.urihttp://www.scopus.com/inward/record.url?eid=2-s2.0-76749093690&partnerID=MN8TOARS
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/74255
dc.information.autorucEscuela de Medicina; Saldías Peñafiel, Fernando; S/I; 67197
dc.information.autorucEscuela de Medicina; Viviani García, Paola; S/I; 729
dc.information.autorucEscuela de Medicina; Pulgar B., Dahiana; S/I; 121739
dc.information.autorucEscuela de Medicina; Valenzuela Flores, Francisco Felipe; S/I; 149915
dc.information.autorucEscuela de Medicina; Paredes Engber, Sebastián; S/I; 149940
dc.information.autorucEscuela de Medicina; Díaz Patiño, Orlando; S/I; 78564
dc.issue.numero12
dc.language.isoes
dc.nota.accesoContenido completo
dc.pagina.final1552
dc.pagina.inicio1545
dc.revistaRevista médica de Chilees_ES
dc.rightsacceso abierto
dc.subjectBacteremia
dc.subjectPneumonia
dc.subjectBacterial
dc.subjectStreptococcus pneumoniae
dc.titleFactores pronósticos, evolución y mortalidad en el adulto inmunocompetente hospitalizado por neumonía neumocócica adquirida en la comunidades_ES
dc.title.alternativePrognostic factors and mortality in immunocompetent adult patients hospitalized with community-acquired pneumococcal pneumoniaes_ES
dc.typeartículo
dc.volumen137
sipa.codpersvinculados67197
sipa.codpersvinculados729
sipa.codpersvinculados121739
sipa.codpersvinculados149915
sipa.codpersvinculados149940
sipa.codpersvinculados78564
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