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Predicting mortality in hospitalized patients with 2009 H1N1 influenza pneumonia.
Riquelme, R; Jiménez, P; Videla, A J; Lopez, H; Chalmers, J; Singanayagam, A; Riquelme, M; Peyrani, P; Wiemken, T; Arbo, G; Benchetrit, G; Rioseco, M L; Ayesu, K; Klotchko, A; Marzoratti, L; Raya, M; Figueroa, S; Saavedra, F; Pryluka, D; Inzunza, C; Torres, A; Alvare, P; Fernandez, P; Barros, M; Gomez, Y; Contreras, C; Rello, J; Bordon, J; Feldman, C; Arnold, F; Nakamatsu, R; Riquelme, J; Blasi, F; Aliberti, S; Cosentini, R; Lopardo, G; Gnoni, M; Welte, T; Saad, M; Guardiola, J; Ramirez, J.
Afiliación
  • Riquelme R; Puerto Montt Hospital, Puerto Montt, Chile.
Int J Tuberc Lung Dis ; 15(4): 542-6, 2011 Apr.
Article en En | MEDLINE | ID: mdl-21396216
BACKGROUND: Community-acquired pneumonia (CAP) severity scores can identify patients at low risk for mortality who may be suitable for ambulatory care. Here, we follow the clinical course of hospitalized patients with CAP due to 2009 H1N1 influenza. OBJECTIVE: To evaluate the role of CAP severity scores as predictors of mortality. METHODS: This was a secondary data analysis of patients hospitalized with CAP due to 2009 H1N1 influenza confirmed by reverse transcriptase polymerase chain reaction enrolled in the CAPO (Community-Acquired Pneumonia Organization) international cohort study. CAP severity scores PSI (Pneumonia Severity Index), CURB-65 (confusion, urea, respiratory rate, blood pressure, age ≥ 65 years) and CRB-65 (confusion, respiratory rate, blood pressure, age ≥ 65 years) were calculated. Actual and predicted mortality rates were compared. A total of 37 predictor variables were evaluated to define those associated with mortality. RESULTS: Data from 250 patients with CAP due to 2009 H1N1 influenza were analyzed. Patients with low predicted mortality rates (0-1.5%) had actual mortality rates ranging from 2.6% to 17.5%. Obesity and wheezing were the only novel variables associated with mortality. CONCLUSIONS: The decision to hospitalize a patient with CAP due to 2009 H1N1 influenza should not be based on current CAP severity scores, as they underestimate mortality rates in a significant number of patients. Patients with obesity or wheezing should be considered at an increased risk for mortality.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neumonía Viral / Infecciones Comunitarias Adquiridas / Gripe Humana / Subtipo H1N1 del Virus de la Influenza A Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Int J Tuberc Lung Dis Año: 2011 Tipo del documento: Article País de afiliación: Chile Pais de publicación: Francia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neumonía Viral / Infecciones Comunitarias Adquiridas / Gripe Humana / Subtipo H1N1 del Virus de la Influenza A Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Int J Tuberc Lung Dis Año: 2011 Tipo del documento: Article País de afiliación: Chile Pais de publicación: Francia