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.authorTasci, 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.authorKaraboga, 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, AA
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.accessioned2024-07-18T12:08:27Z
dc.date.available2024-07-18T12:08:27Z
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. (C) 2013 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
dc.identifier.issn1201-9712
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/10956
dc.language.isoEnglish
dc.publisherELSEVIER SCI LTD
dc.subjectVENTILATOR-ASSOCIATED PNEUMONIA
dc.subjectACUTE RESPIRATORY-FAILURE
dc.subjectATTRIBUTABLE MORTALITY
dc.subjectNONINVASIVE VENTILATION
dc.subjectMECHANICAL VENTILATION
dc.subjectPROGNOSIS FACTORS
dc.subjectPREDICTION RULE
dc.subjectRISK-FACTORS
dc.subjectETIOLOGY
dc.subjectUNIT
dc.titleMortality indicators in community-acquired pneumonia requiring intensive care in Turkey
dc.typeArticle

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