Abstract

MACHADO-ALBA, Jorge Enrique; ISAZA, Berenice  and  SEPULVEDA, Mónica. Factors associated to mortality due to pneumonia in a tertiary hospital of Colombia. Acta Med Colomb [online]. 2013, vol.38, n.4, pp.233-238. ISSN 0120-2448.

Objectives: to determine the variables associated with mortality due to Community acquired Pneumonia (CaP) in a hospital in Colombia. Materials and methods: cross-sectional study in patients older than 14 years with a diagnosis of CAP between January 1st, 2010 and March 30th, 2012. Socio-demographic, clinical, paraclinical and therapeutic variables were considered. Bivariate and multivariate analyzes were performed with SPSS-20.0. Results: of 297 cases with CAP there was male predominance (53.5%); mean age 56.3 ± 22.4 years. 22.6% of patients died. The variables heart rate > 120/minute (OR: 3.8 , 95% CI:1.492-10.008, p = 0.005) , sepsis (OR : 6.7 , 95% CI :2.193-20.823, p = 0.001), admission to intensive care unit (OR: 8.9, 95% CI: 2.831 -28.592, p < 0.001) were statistically associated with the risk of death by CAP. Discussion: we identified risk factors associated with mortality due to CAP. It must implement a clinical practice guideline to quantify the risk to provide the best possible care and the care needed to identify the variables associated with a fatal outcome. (Acta Med Colomb 2013; 38: 233-238).

Keywords : pneumonia; clinical practice guidelines; mortality.

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