Muerte y recurrencia tras el tratamiento intrahospitalario de pacientes con neumonía adquirida en la comunidad. Frecuencia y factores relacionados después de un año del egreso
Muerte y recurrencia tras el tratamiento intrahospitalario de pacientes con neumonía adquirida en la comunidad. Frecuencia y factores relacionados después de un año del egreso
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Objective: To describe the frequency and related factors wíth death and relapse one year after a hospítal-treated epísode of communíty-acquíred pneumonía.
Design: Cohort study.
Setting: Fundación Santa Fe de Bogota, Bogota, Colombia.
Patients and Methods: Collectíon of clínical and demographíc data in adults wíth a CAP diagnosis at the time of admíssíon, íncludíng Fine 's pneumonía severíty índex (PSI). At least two íntents to contact the patíents were tríed after one year of the hospítalízatíon, askíng about CAP recurrence or death and death causes. Pertínent data were valídated by revíew of clínical records. Analysís as based on comparíson of frequency of the outcomes ( death and relapse) between groups wíth dífferent clínical characterístícs, past medical hístory and demographíc data.
Results: Duríng an 12-months períod 111 CAP patíents were díscharged alíve (55% males, mean age 66 years old). Response rate was 69% and follow-up was between 14 and 24 months. After díscharge mortalíty rate was 18% and relapse of CAP 20%. Factors related wíth death and relapse were the severíty of índex CAP (hígh group of PSI), age and hístory of heart faílure.
Conclusions: Sorne factors present at the time of díscharge after treatment of CAP are related wíth death and relapse and can ídentífy specíal groups candídate to elose follow-up and preventíve ínterventíons.
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