Chest Infections: Tuberculosis |

Factors Associated With TB Mortality FREE TO VIEW

Yongseon Cho
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Eulji University Hospital, Daejeon, Korea (the Republic of)

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;150(4_S):208A. doi:10.1016/j.chest.2016.08.217
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SESSION TITLE: Tuberculosis

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Tuberculosis is a important public health problem in Korea as well as in the world. In spite of enormous efforts to treat tuberculosis, incidence and mortality rate in Korea is still high. We performed to study to find the factors to increase the mortality among tuberculosis patients.

METHODS: We reviewed the medical records of tuberculosis patients during 2013-2015. We collected data; demographic characteristics, AFB smear, AFB culture, blood test results, first presenting symptoms at diagnosis, comorbidities, radiographic characteristics and length of stay in hospital during treatment.

RESULTS: There were 925 patients enrolled to treat tuberculosis. Among them, 65 patients died during and after treatment. Overall mortality was 7%. The mean age at death was 71 years. There were several predicting factors for tuberculosis related deaths; Hypoxaemia, bilateral involvement of lung in chest imaging, co-infections, heart failure, renal failure and multiorgan failure.CRP was a important factor to predict the outcome. Extrapulmonary involvement was an important contributing factor to tuberculosis related death.

CONCLUSIONS: The major cause of death was related to age, oxygen level and coinfetion. Accurate diagnosis of other infection was also important. To decrease the mortality of tuberculosis, multidisciplinary management is essential.

CLINICAL IMPLICATIONS: Tuberculosis is a still important disease in Korea. To decrease the incidence rate and the mortality rate, early identification and detection of tuberculosis is important and more accurate diagnosis and treatment is essential among the elderly patients.

DISCLOSURE: The following authors have nothing to disclose: Yongseon Cho

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