{"id":11595,"date":"2020-01-09T12:44:39","date_gmt":"2020-01-09T14:44:39","guid":{"rendered":"https:\/\/www.epimedsolutions.com\/?post_type=publicacao&#038;p=11595"},"modified":"2020-01-09T12:44:41","modified_gmt":"2020-01-09T14:44:41","slug":"clinical-profile-and-outcomes-of-patients-with-community-acquired-pneumonia-in-brazilian-public-intensive-care-units","status":"publish","type":"publicacao","link":"https:\/\/www.epimedsolutions.com\/fr\/publication\/clinical-profile-and-outcomes-of-patients-with-community-acquired-pneumonia-in-brazilian-public-intensive-care-units\/","title":{"rendered":"Clinical profile and outcomes of patients with community-acquired pneumonia in Brazilian public intensive care units"},"content":{"rendered":"<p><strong>Autores<\/strong>: Rodolfo Eduardo de Andrade Espinoza1, Fl\u00e1vio Elias Callil2, Robson Correa Santos3, Ulisses de Oliveira Melo4, Anke Bergmann1, Jorge Ibrain Figueira Salluh5<br \/>\n1Instituto Nacional do C\u00e2ncer &#8211; Rio de Janeiro (RJ), Brasil; 2Hospital Estadual Get\u00falio Vargas &#8211; Rio de Janeiro (RJ), Brasil; 3Hospital Estadual Ad\u00e3o Pereira Nunes &#8211; Rio de Janeiro (RJ), Brasil; 4Hospital Estadual Alberto Torres &#8211; Rio de Janeiro (RJ), Brasil; 5Instituto D\u2019Or de Pesquisa e Educa\u00e7\u00e3o &#8211; Rio de Janeiro (RJ), Brasil<\/p>\n<p><strong>Objective:<\/strong> Describe characteristics and outcomes of community-acquired pneumonia (CAP) admitted to public<br \/>\nICUs in Brazil.<\/p>\n<p><strong>Methods:<\/strong> Retrospective cohort study in 4 Tertiary Public Hospitals in Rio de Janeiro, Brazil during 2016. Patients&nbsp;admitted to ICUs with a diagnosis of community-acquired pneumonia were included. Clinical and outcomes data were collected from Epimed Monitor System.<\/p>\n<p><strong>Results<\/strong>: From 7902 admissions, 802 patients (10,1%) were included and analyzed. Main source of admission was the emergency department (78,3%). Median age was 66 (54- 77) years, SAPS3 71(58-83) and SOFA D1 9(5-12) points. 67% of patients needed invasive mechanical ventilation, 12% hemodialysis. 47% required vasopressors. ICU and hospital mortality were 55.9% and 66.5% respectively. In a multivariate analysis, malnutrition [ OR 2.28(1.21-<br \/>\n4.3)], septic shock at admission [OR 1.95(1.39-2.75)], AIDS [3.04(1.16-7.93]), invasive mechanical ventilation<br \/>\n[5.07(5.54-7.27)], age &gt; 65 years [2.07(1.48-2.90)] and LOS &gt;1 day before ICU admission [1.90(1.34-2.71)] were<br \/>\nassociated with increased mortality.<\/p>\n<p><strong>Conclusion<\/strong>: CAP is associated with high mortality in patients admitted to public ICUs in Brazil. The current<br \/>\nfindings may help improve resource allocation and should aim at improving access to ICU care since delayed admission was associated with increased hospital mortality.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-11595","publicacao","type-publicacao","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>Clinical profile and outcomes of patients with community-acquired pneumonia in Brazilian public intensive care units - Epimed Solutions<\/title>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/www.epimedsolutions.com\/fr\/publication\/clinical-profile-and-outcomes-of-patients-with-community-acquired-pneumonia-in-brazilian-public-intensive-care-units\/\" \/>\r\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Clinical profile and outcomes of patients with community-acquired pneumonia in Brazilian public intensive care units - 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