Comparison of Clinical Characteristics of Pulmonary Tuberculosis between General and Homeless Patients.
- Author:
Kwan Jin PARK
1
;
Sang Do SHIN
;
Chang Bae PARK
;
Ki Jeong HONG
;
Jong Hwan SHIN
;
Kyoung Jun SONG
;
Yu Jin KIM
;
Jin Hee JEONG
;
Chang Woo KANG
Author Information
1. Department of Emergency Medicine, College of Medicine, Seoul National University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Homeless;
Tuberculosis;
Mortality;
Resistance
- MeSH:
Adult;
Cross-Sectional Studies;
Emergency Medical Services;
Hospital Mortality;
Humans;
Male;
Odds Ratio;
Retrospective Studies;
Risk Factors;
Smoke;
Tuberculosis;
Tuberculosis, Pulmonary
- From:Journal of the Korean Society of Emergency Medicine
2012;23(6):847-852
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We compared characteristics and outcomes of pulmonary tuberculosis in homeless and non-homeless patients. METHODS: A retrospective, cross-sectional study was conducted in a Seoul municipal medical center between January 2007 and December 2011. All adult patients diagnosed with pulmonary tuberculosis were included. We classified these patients into homeless and non-homeless and compared the disease characteristics, risk factors, mortality, treatment completion rate, and resistance rate. RESULTS: All 157 patients were diagnosed with pulmonary tuberculosis (75 homeless and 82 non-homeless). Most homeless patients were male (97.3%) and had higher emergency medical service (EMS) use (77.3%). Additionally, most homeless patients used alcohol l(76%) and smoked (77.3%). When compared with the non-homeless group, the homeless group had a higher in-hospital mortality rate (14.7%; adjusted odds ratio (OR), 4.69; 95% confident interval (CI), 1.03-21.34), and were more likely to be admitted for (adjusted OR=3.27(1.07-9.97)), but not to complete tuberculosis treatment (adjusted OR=9.10(2.24-36.98)). CONCLUSION: Pulmonary tuberculosis showed higher mortality in homeless than non-homeless patients. Additionally, homeless had a lower treatment completion rate and fewer resistant microorganisms.
