Artículo
Predictors of Severe Sepsis among Patients Hospitalized for Community-Acquired Pneumonia
Autor/es | Montull, Beatriz
Menéndez, Rosario Torres, Antoni Reyes, Soledad Méndez, Raúl Alfageme Michavila, Inmaculada Ruiz Manzano, Juan |
Departamento | Universidad de Sevilla. Departamento de Medicina |
Fecha de publicación | 2016-01-04 |
Fecha de depósito | 2021-08-27 |
Publicado en |
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Resumen | Background
Severe sepsis, may be present on hospital arrival in approximately one-third of patients with
community-acquired pneumonia (CAP).
Objective
To determine the host characteristics and micro-organisms associated ... Background Severe sepsis, may be present on hospital arrival in approximately one-third of patients with community-acquired pneumonia (CAP). Objective To determine the host characteristics and micro-organisms associated with severe sepsis in patients hospitalized with CAP. Results We performed a prospective multicenter cohort study in 13 Spanish hospital, on 4070 hospitalized CAP patients, 1529 of whom (37.6%) presented with severe sepsis. Severe sepsis CAP was independently associated with older age (>65 years), alcohol abuse (OR, 1.31; 95% CI, 1.07–1.61), chronic obstructive pulmonary disease (COPD) (OR, 1.75; 95% CI, 1.50–2.04) and renal disease (OR, 1.57; 95% CI, 1.21–2.03), whereas prior antibiotic treatment was a protective factor (OR, 0.62; 95% CI, 0.52–0.73). Bacteremia (OR, 1.37; 95% CI, 1.05–1.79), S pneumoniae (OR, 1.59; 95% CI, 1.31–1.95) and mixed microbial etiology (OR, 1.65; 95% CI, 1.10–2.49) were associated with severe sepsis CAP. Conclusions CAP patients with COPD, renal disease and alcohol abuse, as well as those with CAP due to S pneumonia or mixed micro-organisms are more likely to present to the hospital with severe sepsis. |
Identificador del proyecto | 2006/0237
2007/0059 |
Cita | Montull, B., Menéndez, R., Torres, A., Reyes, S., Méndez, R., Alfageme Michavila, I. y Ruiz Manzano, J. (2016). Predictors of Severe Sepsis among Patients Hospitalized for Community-Acquired Pneumonia. PLoS ONE, 11 (1), art.n.e0145929. |
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