Community-acquired pneumonia: a 7-years descriptive study. Usefulness of the IDSA/ATS 2007 in the assessment of ICU admission

Medicina intensiva
C SabatierJ Vallés

Abstract

To describe the clinical characteristics and outcomes of patients with community-acquired pneumonia (CAP) admitted to the Intensive Care Unit (ICU). To evaluate new ATS/IDSA criteria to identify patients with CAP who required admission to ICU. Retrospective analysis of prospective collected data in a 7-year period (2000-2007). Medical-surgical ICU with 16 beds. All patients with severe CAP admitted to the ICU (n=147). PRIMARY ENDPOINTS: Clinical and microbiological characteristics. Prognostic factors. Comparison of patients admitted in the ICU and ATS/IDSA criteria (group 1: > or = 1 major criterion, group 2: > or = 3 minor criteria and group 3: no criterion). None. Admission to the ICU is required for patients with acute respiratory failure (60.5%) and with septic shock (28.5%). A total of 71.4%, had an identifiable microbial etiology, S. pneumoniae being the most frequently isolated. Mean time to antibiotic therapy was 4.3+/-4.2h, this being adequate in 97.1%. ICU global mortality rate was 32%. Prognostic factors associated with higher mortality were acute renal failure (OR:4.7), mechanical ventilation (OR:3.4), non-identifiable etiology (OR:4.2) and non-S. pneumonia etiology (OR:3.5). Sixty-eight percent of the patients were...Continue Reading

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Citations

Apr 7, 2012·Revista Clínica Espanõla·A Julián-JiménezF J Candel González
Jun 25, 2015·Revista da Associação Médica Brasileira·Miguel Hernan ViccoHéctor Mario Musacchio
Aug 18, 2018·Expert Review of Anti-infective Therapy·Jose Garnacho-MonteroIgnacio Martín-Loeches
Aug 21, 2013·The New Phytologist·Mary T K ArroyoLohengrin A Cavieres
Jun 15, 2016·Terapevticheskiĭ arkhiv·V A SerovD V Serova

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