0
Articles |

Prognostic Factors of Pneumonia Requiring Admission to the Intensive Care Unit FREE TO VIEW

Jordi Almirall; Eduard Mesalles; Jordi Klamburg; Olga Parra; Antoni Agudo
Author and Funding Information

Affiliations: From the Intensive Care Unit Hospital Germans Trias i Pujol, Badalona, Barcelona,  From the Service of Epidemiology, Hospital Sant Jaume i Santa Magdalena, Mataró, Barcelona, Spain

Affiliations: From the Intensive Care Unit Hospital Germans Trias i Pujol, Badalona, Barcelona,  From the Service of Epidemiology, Hospital Sant Jaume i Santa Magdalena, Mataró, Barcelona, Spain


1995, by the American College of Chest Physicians


Chest. 1995;107(2):511-516. doi:10.1378/chest.107.2.511
Text Size: A A A
Published online

Abstract

All patients with severe pneumonias (community-acquired and nosocomial) who required treatment in the intensive care unit (ICU) were included in a 3-year prospective study. Predictive factors for a fatal outcome were analyzed in 127 patients. An etiologic diagnosis was made in 70 (55.1%) patients. Culture of sputum or tracheobronchial secretions were used only as criteria for microbiologic diagnosis of Legionella pneumophila. The pathogens most frequently identified were L pneumophila, Streptococcus pneumoniae, and Pseudomonas aeruginosa. Viruses were not detected as causative agents. A total of 54 patients died (mortality rate, 42.5%). The univariate analysis showed the following factors associated with mortality: advanced age (≥70 years); presence of septic shock, requirement of mechanical ventilation, and Simplified Acute Physiology Score [SAPS] index >12 at the time of admission to the ICU or when symptoms appeared in patients already admitted to the ICU; development of any complication during ICU hospitalization; and P aeruginosa as the etiologic agent of the pneumonia. When all variables were introduced by a stepwise method, the final model included advanced age (≥70 years), SAPS index > 12, presence of septic shock, requirement of mechanical ventilation, bilateral pulmonary involvement, and P aeruginosa as the etiologic agent of pneumonia as prognostic factors associated with a fatal outcome.


Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

CHEST Journal Articles
CHEST Collections
PubMed Articles
Guidelines
Feverish illness in children: assessment and initial management in children younger than 5 years.
National Collaborating Centre for Women's and Children's Health | 8/28/2009
Clinical practice guidelines for hospital-acquired pneumonia and ventilator-associated pneumonia in adults.
Association of Medical Microbiology and Infectious Disease Canada | 8/28/2009
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543