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Better Outcomes From Pneumococcal PneumoniaPneumococcal Pneumonia Outcomes: How Good Is Your Care?

Grant W. Waterer, MD, PhD, FCCP
Author and Funding Information

From the University of Western Australia; and Northwestern University, Chicago, IL.

CORRESPONDENCE TO: Grant W. Waterer, MD, PhD, FCCP, Level 4 MRF Bldg, Royal Perth Hospital, GPO Box X2213, Perth 6847, WA, Australia; e-mail: grant.waterer@uwa.edu.au


FUNDING/SUPPORT: Dr Waterer is funded by the National Health and Medical Research Council of Australia.

FINANCIAL/NONFINANCIAL DISCLOSURES: The author has reported to CHEST that no potential confl icts of interest exist with any companies/organizations whose products or services may be discussed in this article.


Chest. 2014;146(1):6-8. doi:10.1378/chest.14-0171
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Extract

Articles on pneumococcal pneumonia (PP) over the past 2 decades have frequently commented that reported mortality has shown very little, if any, improvement since the 1960s. Making true comparisons across the decades is difficult, however, due to the increasing numbers of elderly patients, the increasing frequency of chronic organ failure in the community, and the large variety of immunocompromised hosts from conditions such as HIV infection, chronic dialysis, and autoimmune diseases and their therapy. Acknowledging the problems of comparing outcomes in different populations, significant attention over the past 2 decades has been given to measuring how “sick” a patient is at entry to the ICU. It is, therefore, now possible to look at outcomes between units or across time intervals and be reasonably sure that you are comparing “apples with apples.”

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