Mortality indicators in community-acquired pneumonia requiring intensive care in Turkey

dc.authoridtehli, gulden yilmaz/0000-0002-2186-492X
dc.authoridLeblebicioglu, Hakan/0000-0002-6033-8543
dc.authoridErdem, Hakan/0000-0002-6265-5227
dc.authoridBİLGİÇ, HAYATİ/0000-0001-5208-3053
dc.authoridONCUL, Mustafa Oral/0000-0002-1681-1866
dc.authoridGungor, Gokay/0000-0003-2294-489X
dc.authoridUNAL, SERHAT/0000-0003-1184-4711
dc.authorwosidafyon, murat/HJP-3999-2023
dc.authorwosidBüyükkoçak, Ünase/JAZ-1016-2023
dc.authorwosidafyon, murat/J-8945-2015
dc.authorwosidtehli, gulden yilmaz/ABN-8041-2022
dc.authorwosidCilli, Aykut/C-7681-2016
dc.authorwosidInan, Asuman/IXW-7212-2023
dc.authorwosidLeblebicioglu, Hakan/A-3960-2016
dc.contributor.authorErdem, Hakan
dc.contributor.authorTurkan, Hulya
dc.contributor.authorCilli, Aykut
dc.contributor.authorKarakas, Ahmet
dc.contributor.authorKarakurt, Zuhal
dc.contributor.authorBilge, Ugur
dc.contributor.authorYazicioglu-Mocin, Ozlem
dc.date.accessioned2024-06-12T10:58:10Z
dc.date.available2024-06-12T10:58:10Z
dc.date.issued2013
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Severe community-acquired pneumonia (SCAP) is a fatal disease. This study was conducted to describe an outcome analysis of the intensive care units (ICUs) of Turkey. Methods: This study evaluated SCAP cases hospitalized in the ICUs of 19 different hospitals between October 2008 and January 2011. The cases of 413 patients admitted to the ICUs were retrospectively analyzed. Results: Overall 413 patients were included in the study and 129 (31.2%) died. It was found that bilateral pulmonary involvement (odds ratio (OR) 2.5, 95% confidence interval (CI) 1.1-5.7) and CAP PIRO score (OR 2, 95% CI 1.3-2.9) were independent risk factors for a higher in-ICU mortality, while arterial hypertension (OR 0.3, 95% CI 0.1-0.9) and the application of non-invasive ventilation (OR 0.2, 95% CI 0.1-0.5) decreased mortality. No culture of any kind was obtained for 90 (22%) patients during the entire course of the hospitalization. Blood, bronchoalveolar lavage, and non-bronchoscopic lavage cultures yielded enteric Gram-negatives (n = 12), followed by Staphylococcus aureus (n = 10), pneumococci (n = 6), and Pseudomonas aeruginosa (n = 6). For 22% of the patients, none of the culture methods were applied. Conclusions: SCAP requiring ICU admission is associated with considerable mortality for ICU patients. Increased awareness appears essential for the microbiological diagnosis of this disease. (C) 2013 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.ijid.2013.03.015
dc.identifier.endpageE772en_US
dc.identifier.issn1201-9712
dc.identifier.issue9en_US
dc.identifier.pmid23664334en_US
dc.identifier.scopus2-s2.0-84881549480en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpageE768en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijid.2013.03.015
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19970
dc.identifier.volume17en_US
dc.identifier.wosWOS:000324172200021en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInternational Journal Of Infectious Diseasesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCommunity-Acquireden_US
dc.subjectPneumoniaen_US
dc.subjectOutcomeen_US
dc.subjectIntensive Care Uniten_US
dc.subjectCAPen_US
dc.subjectICUen_US
dc.subjectVentilator-Associated Pneumoniaen_US
dc.subjectAcute Respiratory-Failureen_US
dc.subjectAttributable Mortalityen_US
dc.subjectNoninvasive Ventilationen_US
dc.subjectMechanical Ventilationen_US
dc.subjectPrognosis Factorsen_US
dc.subjectPrediction Ruleen_US
dc.subjectRisk-Factorsen_US
dc.subjectEtiologyen_US
dc.subjectUniten_US
dc.titleMortality indicators in community-acquired pneumonia requiring intensive care in Turkeyen_US
dc.typeArticleen_US

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