Mortality indicators in community-acquired pneumonia requiring intensive care in Turkey

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dc.contributor.authorErdem H.
dc.contributor.authorTurkan H.
dc.contributor.authorCilli A.
dc.contributor.authorKarakas A.
dc.contributor.authorKarakurt Z.
dc.contributor.authorBilge U.
dc.contributor.authorYazicioglu-Mocin O.
dc.contributor.authorElaldi N.
dc.contributor.authorAdiguzel N.
dc.contributor.authorGungor G.
dc.contributor.authorTaşci C.
dc.contributor.authorYilmaz G.
dc.contributor.authorOncul O.
dc.contributor.authorDogan-Celik A.
dc.contributor.authorErdemli O.
dc.contributor.authorOztoprak N.
dc.contributor.authorTomak Y.
dc.contributor.authorInan A.
dc.contributor.authorKaraboǧa B.
dc.contributor.authorTok D.
dc.contributor.authorTemur S.
dc.contributor.authorOksuz H.
dc.contributor.authorSenturk O.
dc.contributor.authorBuyukkocak U.
dc.contributor.authorYilmaz-Karadag F.
dc.contributor.authorOzcengiz D.
dc.contributor.authorTurker T.
dc.contributor.authorAfyon M.
dc.contributor.authorSamur A.A.
dc.contributor.authorUlcay A.
dc.contributor.authorSavasci U.
dc.contributor.authorDiktas H.
dc.contributor.authorOzgen-Alpaydin A.
dc.contributor.authorKilic E.
dc.contributor.authorBilgic H.
dc.contributor.authorLeblebicioglu H.
dc.contributor.authorUnal S.
dc.contributor.authorSonmez G.
dc.contributor.authorGorenek L.
dc.date.accessioned2024-07-22T08:18:20Z
dc.date.available2024-07-22T08:18:20Z
dc.date.issued2013
dc.description.abstractBackground: Severe community-acquired pneumonia (SCAP) is a fatal disease. This study was conducted to describe an outcome analysis of the intensive care units (ICUs) of Turkey. Methods: This study evaluated SCAP cases hospitalized in the ICUs of 19 different hospitals between October 2008 and January 2011. The cases of 413 patients admitted to the ICUs were retrospectively analyzed. Results: Overall 413 patients were included in the study and 129 (31.2%) died. It was found that bilateral pulmonary involvement (odds ratio (OR) 2.5, 95% confidence interval (CI) 1.1-5.7) and CAP PIRO score (OR 2, 95% CI 1.3-2.9) were independent risk factors for a higher in-ICU mortality, while arterial hypertension (OR 0.3, 95% CI 0.1-0.9) and the application of non-invasive ventilation (OR 0.2, 95% CI 0.1-0.5) decreased mortality. No culture of any kind was obtained for 90 (22%) patients during the entire course of the hospitalization. Blood, bronchoalveolar lavage, and non-bronchoscopic lavage cultures yielded enteric Gram-negatives (n=12), followed by Staphylococcus aureus (n=10), pneumococci (n=6), and Pseudomonas aeruginosa (n=6). For 22% of the patients, none of the culture methods were applied. Conclusions: SCAP requiring ICU admission is associated with considerable mortality for ICU patients. Increased awareness appears essential for the microbiological diagnosis of this disease. © 2013 International Society for Infectious Diseases.
dc.identifier.DOI-ID10.1016/j.ijid.2013.03.015
dc.identifier.issn18783511
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/17268
dc.language.isoEnglish
dc.rightsAll Open Access; Gold Open Access
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectCommunity-Acquired Infections
dc.subjectCross Infection
dc.subjectCross-Sectional Studies
dc.subjectFemale
dc.subjectHospital Mortality
dc.subjectHumans
dc.subjectIntensive Care
dc.subjectIntensive Care Units
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectOdds Ratio
dc.subjectPatient Outcome Assessment
dc.subjectPneumonia
dc.subjectRetrospective Studies
dc.subjectTurkey
dc.subjectYoung Adult
dc.subjectCAP
dc.subjectCommunity-acquired pneumonia
dc.subjectICU
dc.subjectIntensive care unit
dc.subjectOutcome
dc.subjectadolescent
dc.subjectadult
dc.subjectaged
dc.subjectarticle
dc.subjectblood culture
dc.subjectcommunity acquired pneumonia
dc.subjectfemale
dc.subjectGram negative bacterium
dc.subjecthospitalization
dc.subjecthuman
dc.subjecthypertension
dc.subjectintensive care unit
dc.subjectlung lavage
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmicrobiological examination
dc.subjectmortality
dc.subjectnonhuman
dc.subjectnoninvasive ventilation
dc.subjectoutcome assessment
dc.subjectPseudomonas aeruginosa
dc.subjectrisk factor
dc.subjectsputum culture
dc.subjectStaphylococcus aureus
dc.subjectStreptococcus pneumoniae
dc.subjecttracheal aspiration procedure
dc.subjectTurkey (republic)
dc.titleMortality indicators in community-acquired pneumonia requiring intensive care in Turkey
dc.typeArticle

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