Índice de gravedad en neumonía comunitaria hospitalizada / Severit predictiion index in hospitalized communitary acquired pneumonia
Rev. chil. enferm. respir
; Rev. chil. enferm. respir;19(3): 155-159, 2003. tab
Article
em Es
| LILACS
| ID: lil-627118
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ABSTRACT
Fine's severity prediction index (SPI), was retrospectively analyzed in community acquired pneumonia (CAP), in patients at Concepción Regional Hospital, from June to August 2000. We studied 57 CAP patients 23 as low risk and 34 as high risk patients. In comparison to low risk patients the main features of high risk patients were older age (p < 0.00001), higher comorbility (p < 0.004), longer hospitalization (p < 0.0007) and higher mortality (p < 0.018). Mortality in low risk patients was similar to Fine's study 4.3 versus 3.5%. In high risk patients mortality was 26% versus 38%. Main complications in our series were mechanical ventilation (43.8%), PaO2/FiO2 < 250 mmHg (43.8%), and hepatic coma (38.5%). As a conclusion, we recommend the use of SPI in CAP at Emergency Services in order to better evaluate mortality, optimizing criteria of hospital admission.
RESUMEN
Se evaluó el Índice de Gravedad de Fine (IG) en neumonías de la comunidad (NAC) hospitalizadas en el Hospital Regional de Concepción en trabajo retrospectivo con 57 casos entre Junio y Agosto del año 2000. Se estudiaron 23 pacientes catalogados de bajo riesgo y 34 de alto riesgo. Características de alto riesgo fueron, mayor edad (p < 0,00001), mayor comorbilidad (p < 0,0004), estadía prolongada (p < 0,00007) y mayor mortalidad (p < 0,018). La mortalidad de bajo riesgo fue similar a la de Fine, 4,3% versus 3,5%, siendo menor en el grupo de alto riesgo, 26% versus 38%. Factores de mayor complicación en NAC fueron, ventilación mecánica (43,8%), PaO2/FiO2 < 250 mmHg (43,8%) y coma hepático (35,8%). Conclusión:
es aconsejable el uso del IG en NAC a nivel de Servicios de Urgencia, para evaluar los riesgos de mortalidad, optimizando así los criterios de ingreso al hospital.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Pneumonia
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Infecções Comunitárias Adquiridas
/
Pneumonia Bacteriana
Tipo de estudo:
Etiology_studies
/
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
Idioma:
Es
Revista:
Rev. chil. enferm. respir
Assunto da revista:
PNEUMOLOGIA
Ano de publicação:
2003
Tipo de documento:
Article
País de afiliação:
Chile
País de publicação:
Chile