Factors Associated with Early Death in Patients with Community-Acquired Pneumonia.
10.4046/trd.2005.58.6.607
- Author:
Hun Pyo PARK
1
;
Yong Woo SEO
;
Jeong Eun LEE
;
Young Ho KIM
;
Young Yun JANG
;
Soon Hyo PARK
;
Chang Kyun SEO
;
Young June JEON
;
Mi Young LEE
;
Won Il CHOI
Author Information
1. Department of Medicine, Keimyung University School of Medicine, Daegu, Korea. wichoi@dsmc.or.kr
- Publication Type:Original Article
- Keywords:
Community-acquired pneumonia;
Clinical manifestation;
Tachypnea
- MeSH:
Adult;
Blood Pressure;
Blood Urea Nitrogen;
Emergencies;
Heart Rate;
Hospitalization;
Humans;
Hydrogen-Ion Concentration;
Pneumonia*;
Respiratory Rate;
Risk Factors;
Tachypnea
- From:Tuberculosis and Respiratory Diseases
2005;58(6):607-613
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Early death is an important problem associated with the management of community-acquired pneumonia. However, there is little information on the risk factors associated with it. The aim of this study was to identify the factors associated with early death in community-acquired pneumonia patients. METHODS: From January 1999 to July 2004, 1,487 adult patients with community-acquired pneumonia who were admitted to the pulmonary department via emergency center were examined. Early death was defined as those who died within 2 days of hospitalization. The clinical and laboratory aspects of the patients who died early (n=30) were compared with those of an age and gender matched control population (n=60) . RESULTS: In the early death group, respiratory rate, heart rate, and blood urea nitrogen (BUN) were significant higher (p<0.05 for all), while the arterial pH, systolic pressure, and PaO2 were significant lower (p<0.05 for all) than the control. The independent factor significantly associated with early death was tachypnea (OR, 7.049). CONCLUSION: The importance of an early clinical assessment in emergency center with community-acquired pneumonia needs to be emphasized in order to recognize patients at risk of early death.
