dc.creator | Menéndez, Rosario | es |
dc.creator | Torres, Antoni | es |
dc.creator | Reyes, Soledad | es |
dc.creator | Zalacain, Rafael | es |
dc.creator | Capelastegui, Alberto | es |
dc.creator | Rajas, Olga | es |
dc.creator | Alfageme Michavila, Inmaculada | es |
dc.creator | Ruiz Manzano, Juan | es |
dc.date.accessioned | 2021-08-26T09:31:45Z | |
dc.date.available | 2021-08-26T09:31:45Z | |
dc.date.issued | 2012-05-22 | |
dc.identifier.citation | Menéndez, R., Torres, A., Reyes, S., Zalacain, R., Capelastegui, A., Rajas, O.,...,Ruiz Manzano, J. (2012). Compliance with Guidelines-Recommended Processes in Pneumonia: Impact of Health Status and Initial Signs. PLoS ONE, 7(5) | |
dc.identifier.issn | 1932-6203 (electrónica) | es |
dc.identifier.uri | https://hdl.handle.net/11441/125189 | |
dc.description.abstract | Initial care has been associated with improved survival of community-acquired pneumonia (CAP). We aimed to investigate
patient comorbidities and health status measured by the Charlson index and clinical signs at diagnosis associated with
adherence to recommended processes of care in CAP. We studied 3844 patients hospitalized with CAP. The evaluated
recommendations were antibiotic adherence to Spanish guidelines, first antibiotic dose , hours and oxygen assessment.
Antibiotic adherence was 72.6%, first dose ,6 h was 73.4% and oxygen assessment was 90.2%. Antibiotic adherence was
negatively associated with a high Charlson score (Odds ratio [OR], 0.91), confusion (OR, 0.66) and tachycardia $100 bpm
(OR, 0.77). Delayed first dose was significantly lower in those with tachycardia (OR, 0.75). Initial oxygen assessment was
negatively associated with fever (OR, 0.61), whereas tachypnea $30 (OR, 1.58), tachycardia (OR, 1.39), age .65 (OR, 1.51)
and COPD (OR, 1.80) were protective factors. The combination of antibiotic adherence and timing ,6 hours was negatively
associated with confusion (OR, 0.69) and a high Charlson score (OR, 0.92) adjusting for severity and hospital effect, whereas
age was not an independent factor. Deficient health status and confusion, rather than age, are associated with lower
compliance with antibiotic therapy recommendations and timing, thus identifying a subpopulation more prone to receiving
lower quality care. | es |
dc.description.sponsorship | CIBERES (Centro de investigación en red de enfermedades respiratorias) | es |
dc.description.sponsorship | ISCIII (Instituto de Salud Carlos III) | es |
dc.description.sponsorship | Beca Fis (PI 041150) | es |
dc.description.sponsorship | Beca SEPAR (Sociedad Española de Neumología y Cirugía torácica) (2006/0237) | es |
dc.description.sponsorship | Beca de la Consellería Sanitat Comunidad Valenciana (2007/ 0059) | es |
dc.description.sponsorship | PII (Programme of research of SEPAR) | es |
dc.format | application/pdf | es |
dc.format.extent | art.n.e37570 | es |
dc.format.extent | 6 p. | |
dc.language.iso | eng | es |
dc.publisher | Public Library of Science | es |
dc.relation.ispartof | PLoS ONE, 7(5) | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Pneumonia | es |
dc.subject | Community-acquired pneumonia | es |
dc.subject | CAP | es |
dc.subject | Charlson score | es |
dc.title | Compliance with Guidelines-Recommended Processes in Pneumonia: Impact of Health Status and Initial Signs | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Medicina | es |
dc.relation.projectID | PI 041150 | es |
dc.relation.projectID | 2006/0237 | es |
dc.relation.projectID | 2007/0059 | es |
dc.relation.publisherversion | https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0037570 | es |
dc.identifier.doi | 10.1371/journal.pone.0037570 | es |
dc.journaltitle | PLoS ONE | es |
dc.publication.volumen | 7 | es |
dc.publication.issue | 5 | es |