Risk factors for mortality in patients with acquired pneumonia in the community

• Published in: Acta médica del Centro : revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro" Vol. 11; no. 1; pp. 21 - 29
• Main Authors: Jorge Miranda Chaviano, Rolando Fuentes Morales, Jorge Miguel Chaviano León, Liana Leidy Rojas Paz
• Format: Journal Article
• Language: Spanish
• Published: Editorial Ciencias Médicas 01-01-2017
• Subjects: factores de riesgo; mortalidad; neumonía
• ISSN: 2709-7927

Introduction: the acquired pneumonia in the community is defined as an inflammation of the lung parenchyma by an infectious agent. Objective: to determine the potential risk factors of mortality of different variables. Method: an analytical study was realized of such cases and controls in patients admitted in the Room of Internal Medicine at “Celestino Hernández Robau” Hospital with diagnosis of acquired pneumonia in the community in the period from January to December 2015. Results: the leukopenia and the hypotension detected at admission and ages 60 and older and prolonged bed rest behaved as the most common risk factors associated with mortality. Chronic obstructive pulmonary disease, history of cerebrovascular disease and the presence of neoplasms represent a fourfold increased risk as predictors. Conclusions: other variables such as submitting pneumonia in a shorter period of time than a year, history of ischemic heart disease, heart failure, alcoholism, chronic steroid use, diabetes mellitus, liver cirrhosis, smoking and presence of pleural effusion associated to an increased risk of mortality in relation to the control group, although to a lesser extent than before.