Neumonía adquirida en la comunidad en el adulto hospitalizado. Cuadro clínico y factores pronósticos

Simple item page
dc.catalogadorpau
dc.contributor.authorSaldías Peñafiel, Fernando
dc.contributor.authorMardónez Urrutia, José Miguel
dc.contributor.authorMarchesse Rolle, Miguel Ángel
dc.contributor.authorViviani García, Paola
dc.contributor.authorFarías G, Gonzalo
dc.contributor.authorDíaz Fuenzalida, Alejandro
dc.date.accessioned2023-07-21T17:46:06Z
dc.date.available2023-07-21T17:46:06Z
dc.date.issued2002
dc.description.abstractBackground: Community-acquired pneumonia (CAP) is a serious health problem in Chile. Aim: To study prognostic factors on admission and outcome of CAP, in immune competent adult patients, hospitalized in the Catholic University Clinical Hospital. Patients and methods: All adult patients admitted with a CAP in a period of 2 years were prospectively studied. Patients with immunodeficiency, solid tumors or receiving oral adrenal steroids were excluded from the study. Results: In the study period, 463 patients (69±19 years, 55% male) were evaluated. Ninety four percent were treated with 2nd or 3rd generation cephalosporins. Mean hospital length of stay was 10 days. Mortality during hospital stay was 8% and in the ensuing 30 days, it was 12%. Bacterial etiology was established in 25% of cases. The most frequent pathogens isolated were Streptococcus pneumoniae (10.2%), Haemophilus influenzae (3.7%), Staphylococcus aureus (2.8%) and Gram negative bacilli (5.2%). Admission prognostic factors associated with hospital mortality were: an age over 65 years, presence of comorbidity, chronic neurological and hepatic disease, suspicion of aspiration, duration of symptoms for less than 3 days, presence of dyspnea and altered mental status, absence of cough, fever and chills; low blood pressure, tachypnea, metabolic acidosis, hypoxemia, high blood urea nitrogen, hypernatremia, hyperkalemia, hyperphosphatemia, hypoalbuminemia, multilobar radiographic pulmonary infiltrates, bacteremia, high risk categories of the Fine Index (IV and V), and admission to Intermediate Care Unit or ICU. Conclusions: The features of community acquired pneumonia of these patients are similar to those reported abroad.
dc.fechaingreso.objetodigital2023-07-21
dc.format.extent9 páginas
dc.fuente.origenORCID
dc.identifier.issn0034-9887
dc.identifier.urihttp://www.scopus.com/inward/record.url?eid=2-s2.0-0038320884&partnerID=MN8TOARS
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/74237
dc.information.autorucEscuela de Medicina; Saldías Peñafiel, Fernando; 0000-0002-5330-8004; 67197
dc.information.autorucEscuela de Medicina; Mardónez Urrutia, José Miguel; 63419
dc.information.autorucEscuela de Medicina; Marchesse Rolle, Miguel Ángel; S/I; 3104
dc.information.autorucEscuela de Medicina; Viviani García, Paola; S/I; 729
dc.information.autorucEscuela de Medicina; Farías Gontupil, Gonzalo; S/I; 12622
dc.information.autorucEscuela de Medicina; Díaz Fuenzalida, Alejandro; S/I; 104496Escuela de Medicina; Saldías Peñafiel, Fernando; 0000-0002-5330-8004; 67197
dc.information.autorucEscuela de Medicina; Mardónez Urrutia, José Miguel; 63419
dc.information.autorucEscuela de Medicina; Marchesse Rolle, Miguel Ángel; S/I; 3104
dc.information.autorucEscuela de Medicina; Viviani García, Paola; S/I; 729
dc.information.autorucEscuela de Medicina; Farías Gontupil, Gonzalo; S/I; 12622
dc.information.autorucEscuela de Medicina; Díaz Fuenzalida, Alejandro; S/I; 104496Escuela de Medicina; Saldías Peñafiel, Fernando; 0000-0002-5330-8004; 67197
dc.information.autorucEscuela de Medicina; Mardónez Urrutia, José Miguel; 63419
dc.information.autorucEscuela de Medicina; Marchesse Rolle, Miguel Ángel; S/I; 3104
dc.information.autorucEscuela de Medicina; Viviani García, Paola; S/I; 729
dc.information.autorucEscuela de Medicina; Farías Gontupil, Gonzalo; S/I; 12622
dc.information.autorucEscuela de Medicina; Díaz Fuenzalida, Alejandro; S/I; 104496Escuela de Medicina; Saldías Peñafiel, Fernando; 0000-0002-5330-8004; 67197
dc.information.autorucEscuela de Medicina; Mardónez Urrutia, José Miguel; 63419
dc.information.autorucEscuela de Medicina; Marchesse Rolle, Miguel Ángel; S/I; 3104
dc.information.autorucEscuela de Medicina; Viviani García, Paola; S/I; 729
dc.information.autorucEscuela de Medicina; Farías Gontupil, Gonzalo; S/I; 12622
dc.information.autorucEscuela de Medicina; Díaz Fuenzalida, Alejandro; S/I; 104496Escuela de Medicina; Saldías Peñafiel, Fernando; 0000-0002-5330-8004; 67197
dc.information.autorucEscuela de Medicina; Mardónez Urrutia, José Miguel; 63419
dc.information.autorucEscuela de Medicina; Marchesse Rolle, Miguel Ángel; S/I; 3104
dc.information.autorucEscuela de Medicina; Viviani García, Paola; S/I; 729
dc.information.autorucEscuela de Medicina; Farías Gontupil, Gonzalo; S/I; 12622
dc.information.autorucEscuela de Medicina; Díaz Fuenzalida, Alejandro; S/I; 104496
dc.issue.numero12
dc.language.isoes
dc.nota.accesoContenido parcial
dc.pagina.final7382
dc.pagina.inicio1373
dc.revistaRevista Medica de Chilees_ES
dc.rightsacceso abierto
dc.titleNeumonía adquirida en la comunidad en el adulto hospitalizado. Cuadro clínico y factores pronósticoses_ES
dc.title.alternativePrognostic factors and outcome of community-acquired pneumonia in hospitalized adult patientses_ES
dc.typeartículo
dc.volumen130
sipa.codpersvinculados67197
sipa.codpersvinculados63419
sipa.codpersvinculados3104
sipa.codpersvinculados729
sipa.codpersvinculados12622
sipa.codpersvinculados104496
Files
Collections
Artículos de revistas