Morbidity and mortality due to severe pneumonia acquired in the community, General Teaching Hospital “Dr. Agostinho Neto” 2018
Keywords:
pneumonia, severe community-acquired pneumonia, intensive care unitAbstract
Introduction: community acquired pneumonia is a health problem that has not yet been resolved and in Guantanamo the influence of the seasons of the year on its frequency has not been clarified.
Objective: to determine the morbidity and mortality due to severe pneumonia acquired in the community in said unit during 2018.
Method: a retrospective study of the total number of patients admitted (N=85) for this cause was made. The variables studied were: age, sex, severity index, comorbidity, stay in the unit, need for mechanical ventilation, state at discharge. All related to the seasons.
Results: the largest number of patients admitted during the winter (35.3%). There was no significant relationship between the season of the year and the sex variable (p<0.05), but with age, stay in the unit, comorbidity, risk of respiratory failure and need for treatment with mechanical ventilation (p<0.05).
Conclusions: the morbidity of severe pneumonia acquired in the community showed a seasonal distribution, since in winter its frequency was higher, but it did not determine its lethality, which was more mediated by the comorbidity of the patient.
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References
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2. Torres A, Peetermans WE, Viegi G, Blasi F. Risk factors for community-acquired pneumonia in adults in Europe: a literature review. Thorax [en línea]. 2017 [citado 28 Sep 2019]; 68:1057-1065. DOI: https://doi.org/10.1136/thoraxjnl-2013-204282
3. File TM, Marrie TJ. Burden of community-acquired pneumonia in North American adults. Postgrad Med [en línea]. 2019 [citado 28 Sep 2019]; 122:130-141. DOI: https://doi.org/10.3810/pgm.2010.03.2130
4. Dirección de Registros Médicos y Estadísticas de Salud. Anuario estadístico de salud, 2018 [en línea]. La Habana: Ministerio de Salud Pública; 2019 [citado 28 Sep 2019]. Disponible en: http://www.sld.cu/sitios/dne/
5. Fine MJ, Smith MA. Prognosis and outcomes of patients with community-acquired pneumonia. JAMA [en línea]. 2017 [citado 28 Sep 2019]; 275:134-141. DOI: https://doi.org/10.1001/jama.1996.03530260048030
6. Neill AM, Martin IR, Weir R. Community acquired pneumonia: aetiology and usefulness of severity criteria on admission. Thorax [en línea]. 2016 [citado 28 Sep 2019]; 51:1010-1016. DOI: https://doi.org/10.1136/thx.51.10.1010
7. Garfield M, Ridley S, Kong A, Burns A, Blunt M, Gunning K. Seasonal variation in admission rates to intensive care units. Anaesthesia [en línea]. 2016 [citado 28 Sep 2019]; 56:1136-40. DOI: http://dx.doi.org/10.1046/j.1365-2044.2001.01984
8. Serdar Tasci S, Kavalci C, Emre Kayipmaz K A avalci C. Relationship of meteorological and air pollution parameters with pneumonia in elderly patients. Emer Med Intern [en línea]. 2018 [citado 28 Sep 2019]; (4183203):[aprox. 9 p.]. Disponible en: https://doi.org/10.1155/2018/4183203
9. Huang C, Chu C, Wang X, et al. Unusually cold and dry winters increase mortality in Australia. Environ Res [en línea]. 2015 [citado 28 Sep 2019]; 136:1-7. DOI: http://dx.doi.org/10.1016/j.envres.2014.08.046
10.Suarez de la Rica A, Gilsanz F, Maseda E. Epidemiologic trends of sepsis in western countries. Ann Transl Med [en línea]. 2016 Sep [citado 28 Sep 2019]; 4(17):325. DOI: https://doi.org/10.21037/atm.2016.08.59
11.Jiménez AJ, Adán VI, Beteta LA, Cano MLM, Fernández RO, Rubio DR, et al. Recomendaciones para la atención del paciente con neumonía adquirida en la comunidad en los Servicios de Urgencias. Rev Esp Quimioter. 2018; 31(2):186-202.
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14.Kysely J, Pokorna L. Validation of APACHE score. BMC Public Health. 2012; 9:19.
15.Bauer TT, Ewig S, Marre R, Suttorp N, Welte T. CRB-65 predicts death from community-acquired pneumonia. J Intern Med. 2006; 260:93-101.
16.Fine MJ, Auble TE, Yealy DM. A prediction rule to identify low-risk patients with community acquired pneumonia. N Engl J Med. 1997; 336:243-50.
17.Charlson ME, Szatrowski TP, Peterson J, Gold J. Validation of a combined comorbidity index. J Clin Epidemiol. 1994; 47:1245-51.
18.Zhang J, Zhou L, Fang Q, Zhang J, Zhang Y. The impact of temperature extremes on mortality: a time-series study in Jinan, China. BMJ Open [en línea]. 2017 Aug [citado 28 Sep 2019]; 7:e014741. DOI: http://dx.doi.org/10.1136/bmjopen-2016-014741
19.Li Y, Peterson ME, Campbell H, Li HN, Peterson ME, Campbell H, et al. Association of seasonal viral acute respiratory infection with pneumococcal disease: a systematic review of population based studies. BMJ Open [en línea]. 2018 Aug [citado 28 Sep 2019]; 8:e019743. DOI: http://dx.doi.org/doi:10.1136/bmjopen-2017-019743
20.Williams NP, Coombs NA, Matthew JJA, Josephs LK, Rigge LA, Staples KJ, et al. Seasonality, risk factors and burden of community-acquired pneumonia in COPD patients: a population database study using linked health care records [en línea]. 2017 [citado 28 Sep 2019]; 2017(12):313-322. DOI: http://doi.org/10.2147/COPD.S121389
21.Susana HLS, Fernández FE, Cervera JA, Blanquer OR. ¿Influyen la estación y el clima en la etiología de la neumonía adquirida en la comunidad? Arch Bronconeumol [en línea]. 2019 [citado 28 Sep 2019]; 49(4):140–145. DOI: http://www.dx.doi.org/10.1016/j.arbres. 2012.11.001
22.Liddell C, Morris C, Thomson H, et al. Excess winter deaths in 30 European countries 1980–2013: a critical review of methods. J Pub Health [en línea]. 2016 Dec [citado 28 Sep 2019]; 38(4):806-814. DOI: https://doi.org/10.1093/pubmed/fdv184
23.Mirsaeidi M, Motahari H, Taghizadeh KM, Sharifi A, Campos M, Schraufnagel DE. Climate Change and Respiratory Infections. Ann Am Thorac Soc [en línea]. 2016 Aug [citado 28 Sep 2019]; 13(8):1223-1230. DOI: http://dx.doi.org/10.1513/AnnalsATS.201511-729PS
24.Sahuquillo Arce JM, Ibáñez Martínez E, Hernández-Cabezas A. Influence of environmental conditions and pollution on the incidence of Streptococcus pneumoniae infections. ERJ Open Res [en línea]. 2017 [citado 28 Sep 2019]; 3(4):00014-2017. DOI: https://doi.org/10.1183/23120541.00014-2017
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Published
2019-12-18
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Bordelois Abdo MS, Elias Sierra R, Choo Ubals T, Fong Berguelich Y del P, Lecourtois Mendoza L. Morbidity and mortality due to severe pneumonia acquired in the community, General Teaching Hospital “Dr. Agostinho Neto” 2018. Rev Inf Cient [Internet]. 2019 Dec. 18 [cited 2025 Jun. 5];98(6):744-5. Available from: https://revinfcientifica.sld.cu/index.php/ric/article/view/2538
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