Outcomes of community acquired pneumonia in a tertiary hospital

Janso Kollanur, R. Pulikal, A. R, D. Chelangara, Krishna Ev
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引用次数: 1

Abstract

Despite the advances in healthcare setup, Community Acquired pneumonia still continues to be one of the major causes of morbidity and mortality among the hospitalised, especially the elderly population. Knowledge about the distribution of the disease, susceptible population, risk factors, mortality and morbidity outcomes makes it easy for the effective management of the affected individuals. Even though we have enough data on worldwide distribution and outcome of CAP, similar studies in Indian setup are few. Considering the fact that the change in environment, population characteristics and difference in clinical practices can hugely influence the outcome of CAP, it was found necessary to conduct this study.: To understand the demographic profile of patients, to identify the main symptoms and risk factors and to find out the outcome of patients admitted with CAP in a tertiary health care centre in Thrissur. Retrospective study by collecting the details of patients hospitalized with CAP in the past one year by going through their medical records. The incidence of CAP was found to be steadily increasing with age, more in males with productive cough being the most common symptom. While in majority of cases no organisms were isolated, the ones which had an identified causative organism were mainly bacterial. Maximum cases occurred in monsoon season and the mortality rate was 2%.
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某三级医院社区获得性肺炎的结局分析
尽管在卫生保健方面取得了进展,但社区获得性肺炎仍然是住院患者,特别是老年人发病和死亡的主要原因之一。对疾病分布、易感人群、风险因素、死亡率和发病率结果的了解,有助于对受影响的个人进行有效管理。尽管我们有足够的关于全球范围内CAP分布和结果的数据,但在印度的类似研究很少。考虑到环境的变化、人群特征和临床实践的差异会极大地影响CAP的结果,因此有必要进行本研究。了解患者的人口特征,确定主要症状和风险因素,并查明在Thrissur三级保健中心接受CAP治疗的患者的结果。回顾性研究,通过查阅病历资料,收集近一年内CAP住院患者的详细资料。发现CAP的发病率随着年龄的增长而稳步增加,在男性中以生产性咳嗽为最常见的症状。虽然大多数病例未分离出微生物,但鉴定出病原生物的主要是细菌。最多病例发生在季风季节,死亡率为2%。
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