科研之友
微信
新浪微博
Facebook
分享链接
摘要
objective: to evaluate the agreement between the criteria used for hospitalization of patients with community-acquired pneumonia (cap) and those of the brazilian thoracic association guidelines, and to evaluate the association of that agreement with 30-day mortality. secondarily, to evaluate the agreement between the treatment given and that recommended in the guidelines with length of hospital stay, microbiological profile, 12-month mortality, complications, icu admission, mechanical ventilation, and 30-day mortality. methods: this was a retrospective study involving adult patients hospitalized between 2005 and 2007 at the federal university of minas gerais hospital das cl赤nicas, located in belo horizonte, brazil. medical charts and chest x-rays were reviewed. results: among the 112 patients included in the study, admission and treatment criteria were in accordance with the guidelines in 82 (73.2%) and 66 (58.9%), respectively. the 30-day and 12-month mortality rates were 12.3% and 19.4%, respectively. the 30-day mortality rate was lower for patients in whom the crb-65 (mental confusion, respiratory rate, blood pressure, and age %26gt; 65 years) score was 1-2 and the antibiotic therapy was in accordance with the guidelines (p = 0.01). cerebrovascular disease and appropriate antibiotic therapy showed independent associations with 30-day mortality. there was a trend toward an association between guideline-concordant antibiotic therapy and shorter hospital stay. conclusions: in the population studied, admission and treatment criteria that were in accordance with the guidelines were associated with favorable outcomes in hospitalized patients with cap. cerebrovascular disease, as a risk factor, and guideline-concordant antibiotic therapy, as a protective factor, were associated with 30-day mortality.
