Behavior of selected characteristics in patients hospitalized for community-acquired pneumonia and some associations of practical interest

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Published: Sep 2, 2022
DOI: https://doi.org/10.32457/ijmss.v9i3.1936
Keywords:
Pneumonia, community acquired infections, hospital admissions neumonía, infecciones comunitarias adquiridas, ingresos hospitalarios

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Corona Martínez, L. A., González Morales , I., & Fragoso Marchante , M. C. (2022). Behavior of selected characteristics in patients hospitalized for community-acquired pneumonia and some associations of practical interest. International Journal of Medical and Surgical Sciences, 9(3), 1–14. https://doi.org/10.32457/ijmss.v9i3.1936
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Vol. 9 No. 3 (2022): September, 2022
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Research Article
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Behavior of selected characteristics in patients hospitalized for community-acquired pneumonia and some associations of practical interest

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Luis Alberto Corona Martínez
a:1:{s:5:"en_US";s:7:"Médico";}
Iris González Morales
Servicio de Medicina Interna, Hospital Universitario “Dr Gustavo Aldereguía Lima”, Cienfuegos, Cuba
https://orcid.org/0000-0003-1663-8335
María Caridad Fragoso Marchante
Servicio de Medicina Interna, Hospital Universitario “Dr Gustavo Aldereguía Lima”, Cienfuegos, Cuba
https://orcid.org/0000-0002-2170-6139

Abstract

Community-acquired pneumonia is one of the respiratory conditions that causes the greatest demand for medical care, and is responsible for the largest number of deaths from infectious diseases in Cuba. The objective of the study was to determine the behavior of selected characteristics in patients hospitalized for pneumonia and to specify the existence of associations between some of these characteristics. An observational study, with a descriptive design, was carried out, which included 1,809 patients hospitalized for pneumonia between January 2012 and February 2020. Characteristics related to the basic, clinical-radiological conditions, and relative to management and evolution were analyzed, through analysis bivariate and multivariate (logistic regression). The series consisted mainly of elderly patients (79%), while 20% were bedridden. This condition was significantly associated with the state of advanced dementia (OR 7.6[5.5;10.4]), and was decisive in the "overlapping" presentation of the process (OR 1.5[1.09;2]). The “overlapping” presentation of pneumonia was significantly associated with late admission (OR 1.6[1.2;2.2]). As conclusions, the place occupied by several elements in the characteristics of pneumonia morbidity is ratified: advanced age, presence of comorbidities, and non-classical presentation of the process. Interrelationships of practical importance were found between the presence of particular comorbidities, the clinical forms of presentation, the time of admission, and the use of antimicrobials during the patient's prehospital care. The role of bed rest in the radiological extension of the pneumonic process and in the presence of medium or large pleural effusion at the time of admission is highlighted.

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