The prevalence of complications of pneumonia among adults admitted to a tertiary care center in Riyadh from 2010-2017.
Adolescent
Adult
Aged
Community-Acquired Infections
/ complications
Cross Infection
/ complications
Cross-Sectional Studies
Female
Heart Diseases
/ epidemiology
Humans
Jaundice, Obstructive
/ epidemiology
Male
Middle Aged
Pleural Effusion
/ epidemiology
Pneumonia
/ complications
Prevalence
Respiratory Tract Diseases
/ epidemiology
Retrospective Studies
Risk Factors
Saudi Arabia
/ epidemiology
Sepsis
/ epidemiology
Tertiary Care Centers
Young Adult
Journal
Annals of Saudi medicine
ISSN: 0975-4466
Titre abrégé: Ann Saudi Med
Pays: Saudi Arabia
ID NLM: 8507355
Informations de publication
Date de publication:
Historique:
entrez:
4
2
2019
pubmed:
4
2
2019
medline:
14
5
2019
Statut:
ppublish
Résumé
Pneumonia, the commonest lower respiratory tract infection, can result in respiratory and non-respiratory complications. Few studies have reported on the prevalence of many complications. Identify the prevalence of 18 complications of pneumonia and compare complication rates by age group and type of pneu.monia. Identify most prevalent comorbidities, the effect of the number of comorbidities on the presence of complications, and the association between specific comorbidities and specific complications. Retrospective, cross-sectional prevalence study. Tertiary care center in Riyadh. The target population were patients aged 17 years and older, of different nationalities and both genders, diagnosed with pneumonia during the period of 2010 to 2017. Selection was by stratified sampling by year of admission. Complications of pneumonia. 800. Complications were observed in 427 patients (53.4%). The complications were respiratory in 258 patients (32%), sepsis and septic shock in 186 (23%), cardiac in 125 (16%), neurological in 5 (0.6%), and cholestatic jaundice in 2 (0.3%). Pleural effusion was the commonest complication, observed in 230 patients. There was a significant difference (P less than .001) between the complication rates in older patients compared to younger (60% as compared to 41%). For the type of pneumonia, there was a significant difference (P less than .001) between community-acquired pneumonia and hospital-acquired pneumonia in the presence of complications (OR=2.41, 95% CI for OR=1.66, 3.49). The number of comorbidities was significantly associated with the presence of complications (P=.001) for those with multiple comorbidities (46% for patients with no comorbid illnesses versus 68% in patients with three or more comorbidities). These results suggest that Saudi Arabia needs to establish better prevention and intervention programs, especially for the high-risk groups identified in this study: older patients, patients with hospital-acquired pneumonia and patients with two or more comorbidities. Retrospective design and single-centered. None.
Sections du résumé
BACKGROUND
BACKGROUND
Pneumonia, the commonest lower respiratory tract infection, can result in respiratory and non-respiratory complications. Few studies have reported on the prevalence of many complications.
OBJECTIVES
OBJECTIVE
Identify the prevalence of 18 complications of pneumonia and compare complication rates by age group and type of pneu.monia. Identify most prevalent comorbidities, the effect of the number of comorbidities on the presence of complications, and the association between specific comorbidities and specific complications.
DESIGN
METHODS
Retrospective, cross-sectional prevalence study.
SETTING
METHODS
Tertiary care center in Riyadh.
PATIENTS AND METHODS
METHODS
The target population were patients aged 17 years and older, of different nationalities and both genders, diagnosed with pneumonia during the period of 2010 to 2017. Selection was by stratified sampling by year of admission.
MAIN OUTCOME MEASURES
METHODS
Complications of pneumonia.
SAMPLE SIZE
METHODS
800.
RESULTS
RESULTS
Complications were observed in 427 patients (53.4%). The complications were respiratory in 258 patients (32%), sepsis and septic shock in 186 (23%), cardiac in 125 (16%), neurological in 5 (0.6%), and cholestatic jaundice in 2 (0.3%). Pleural effusion was the commonest complication, observed in 230 patients. There was a significant difference (P less than .001) between the complication rates in older patients compared to younger (60% as compared to 41%). For the type of pneumonia, there was a significant difference (P less than .001) between community-acquired pneumonia and hospital-acquired pneumonia in the presence of complications (OR=2.41, 95% CI for OR=1.66, 3.49). The number of comorbidities was significantly associated with the presence of complications (P=.001) for those with multiple comorbidities (46% for patients with no comorbid illnesses versus 68% in patients with three or more comorbidities).
CONCLUSION
CONCLUSIONS
These results suggest that Saudi Arabia needs to establish better prevention and intervention programs, especially for the high-risk groups identified in this study: older patients, patients with hospital-acquired pneumonia and patients with two or more comorbidities.
LIMITATIONS
CONCLUSIONS
Retrospective design and single-centered.
CONFLICT OF INTEREST
BACKGROUND
None.
Identifiants
pubmed: 30712048
doi: 10.5144/0256-4947.2019.29
pmc: PMC6464674
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
29-36Références
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