The Prognostic Factors of Pneumonia with Septic Shock in Patients Presenting to the Emergency Department / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 258-264, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-770909
ABSTRACT
BACKGROUND:
Pneumonia is the most common cause of death among patients with infectious disease in Korea. However, studies of pneumonia with septic shock in patients presenting to the emergency department are limited. The aim of this study was to investigate the prognostic factors associated with pneumonia with septic shock in patients presenting to the emergency department.METHODS:
From January 2008 to September 2014, patients with pneumonia with septic shock admitted through the emergency department were retrospectively examined.RESULTS:
Of the 561,845 patients who visited the emergency department, 398 were admitted for pneumonia with septic shock. The 28-day mortality rate in these patients was 36.4%. The independent prognostic factors were old age (>70 yrs) (odds ratio [OR], 2.42; 95%, confidence interval [CI], 1.35-4.32), Acute Physiology and Chronic Health Evaluation (APACHE) II score (OR, 1.04; 95% CI, 1.01-1.08), leukopenia (OR, 3.63; 95% CI, 1.48-8.94), prolonged PT-INR (OR, 2.53; 95% CI, 1.41-4.54), and hypoxemia (OR, 2.88; 95% CI, 1.30-6.38).CONCLUSIONS:
A poor prognosis of patients with pneumonia is associated with old age (>70 yrs), increased APACHE II score, leukopenia, prolonged PT-INR, and hypoxemia.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumonia
/
Prognóstico
/
Choque Séptico
/
Doenças Transmissíveis
/
Estudos Retrospectivos
/
Mortalidade
/
Causas de Morte
/
APACHE
/
Emergências
/
Serviço Hospitalar de Emergência
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
The Korean Journal of Critical Care Medicine
Ano de publicação:
2015
Tipo de documento:
Artigo
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