PMID: 22576421May 12, 2012Paper

Adherence to guidelines and its impact on outcomes in patients hospitalized with community-acquired pneumonia at a university hospital

Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia
Carla Discacciati SilveiraRicardo de Amorim Corrêa

Abstract

To evaluate the agreement between the criteria used for hospitalization of patients with community-acquired pneumonia (CAP) and those of the Brazilian Thoracic Association guidelines, and to evaluate the association of that agreement with 30-day mortality. Secondarily, to evaluate the agreement between the treatment given and that recommended in the guidelines with length of hospital stay, microbiological profile, 12-month mortality, complications, ICU admission, mechanical ventilation, and 30-day mortality. This was a retrospective study involving adult patients hospitalized between 2005 and 2007 at the Federal University of Minas Gerais Hospital das Clínicas, located in Belo Horizonte, Brazil. Medical charts and chest X-rays were reviewed. Among the 112 patients included in the study, admission and treatment criteria were in accordance with the guidelines in 82 (73.2%) and 66 (58.9%), respectively. The 30-day and 12-month mortality rates were 12.3% and 19.4%, respectively. The 30-day mortality rate was lower for patients in whom the CRB-65 (mental Confusion, Respiratory rate, Blood pressure, and age > 65 years) score was 1-2 and the antibiotic therapy was in accordance with the guidelines (p = 0.01). Cerebrovascular disease a...Continue Reading

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Citations

Mar 7, 2013·Southern Medical Journal·Virginia FlemingRobin Southwood
Dec 12, 2019·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Renata Armani Moura MenezesLuiz Fernando Costa Nascimento

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