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The effect of comorbidities for the prognosis of community-acquired pneumonia: an epidemiologic study using a hospital surveillance in Japan.

The effect of comorbidities for the prognosis of community-acquired pneumonia: an epidemiologic study using a hospital surveillance in Japan.

Authors :
Nguyen, Mai Thi Ngoc
Saito, Nobuyuki
Wagatsuma, Yukiko
Source :
BMC Research Notes. 12/19/2019, Vol. 12 Issue 1, p1-5. 5p. 3 Charts.
Publication Year :
2019

Abstract

Objective: Pneumonia is a common but serious illness that continues to present significant morbidity and mortality. Although the effect of severity at admission on outcome has been well reported, the role of comorbidity is still not widely understood. The Charlson Comorbidity Index measures comorbidity with a well-established history of predicting long-term outcome but its utility in pneumonia prognosis is still limited. Here, we use the Charlson Comorbidity Index and hospital surveillance data to investigate associations between comorbidities and in-hospital mortality due to community-acquired pneumonia. Results: Among the 535 eligible adult patients (69.0% male, median [IQR] age, 79 [70–84] years), 100 (18.7%) acquired severe to extremely severe pneumonia. The median [IQR] CCI was 1 [1–3]. Malignancy (129 of 535, 24.1%), chronic pulmonary diseases (113 of 535, 21.1%) and congestive heart failure (103 of 535, 19.3%) were frequent. Higher Charlson Comorbidity Index scores were associated with higher risk of in-hospital mortality (OR 1.28; 95% CI 1.07–1.53). These results support the inclusion of comorbid burden in predicting community-acquired pneumonia outcome. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
17560500
Volume :
12
Issue :
1
Database :
Academic Search Index
Journal :
BMC Research Notes
Publication Type :
Academic Journal
Accession number :
140453299
Full Text :
https://doi.org/10.1186/s13104-019-4848-1