Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/145319
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Cillóniz, Catia | - |
dc.contributor.author | Dominedò, Cristina | - |
dc.contributor.author | Ielpo, Antonella | - |
dc.contributor.author | Ferrer Monreal, Miquel | - |
dc.contributor.author | Gabarrús, Albert | - |
dc.contributor.author | Battaglini, Denise | - |
dc.contributor.author | Bermejo Martín, Jesús | - |
dc.contributor.author | Meli, Andrea | - |
dc.contributor.author | Garcia Vidal, Carolina | - |
dc.contributor.author | Liapikou, Adamantia | - |
dc.contributor.author | Singer, Mervyn | - |
dc.contributor.author | Torres Martí, Antoni | - |
dc.date.accessioned | 2019-11-25T12:17:21Z | - |
dc.date.available | 2019-11-25T12:17:21Z | - |
dc.date.issued | 2019-07-02 | - |
dc.identifier.issn | 2077-0383 | - |
dc.identifier.uri | http://hdl.handle.net/2445/145319 | - |
dc.description.abstract | Little is known about risk and prognostic factors in very old patients developing sepsis secondary to community-acquired pneumonia (CAP). Methods: We conducted a retrospective observational study of data prospectively collected at the Hospital Clinic of Barcelona over a 13-year period. Consecutive patients hospitalized with CAP were included if they were very old (≥80 years) and divided into those with and without sepsis for comparison. Sepsis was diagnosed based on the Sepsis-3 criteria. The main clinical outcome was 30-day mortality. Results: Among the 4219 patients hospitalized with CAP during the study period, 1238 (29%) were very old. The prevalence of sepsis in this age group was 71%. Male sex, chronic renal disease, and diabetes mellitus were independent risk factors for sepsis, while antibiotic therapy before admission was independently associated with a lower risk of sepsis. Thirty-day and intensive care unit (ICU) mortality did not differ between patients with and without sepsis. In CAP-sepsis group, chronic renal disease and neurological disease were independent risk factors for 30-day mortality. Conclusion: In very old patients hospitalized with CAP, in-hospital and 1-year mortality rates were increased if they developed sepsis. Antibiotic therapy before hospital admission was associated with a lower risk of sepsis. | ca |
dc.format.extent | 12 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | ca |
dc.publisher | MDPI | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.3390/jcm8070961 | - |
dc.relation.ispartof | Journal of Clinical Medicine, 2019, vol. 8, num. 7 | - |
dc.relation.uri | https://doi.org/10.3390/jcm8070961 | - |
dc.rights | cc by (c) Cillóniz et al., 2019 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | - |
dc.source | Articles publicats en revistes (Medicina) | - |
dc.subject.classification | Pneumònia adquirida a la comunitat | - |
dc.subject.classification | Septicèmia | - |
dc.subject.classification | Persones grans | - |
dc.subject.other | Community-acquired pneumonia | - |
dc.subject.other | Septicemia | - |
dc.subject.other | Older people | - |
dc.title | Risk and Prognostic Factors in Very Old Patients with Sepsis Secondary to Community-Acquired Pneumonia | ca |
dc.type | info:eu-repo/semantics/article | ca |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 698278 | - |
dc.date.updated | 2019-10-31T16:51:29Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | ca |
dc.identifier.idimarina | 5752303 | - |
dc.identifier.pmid | 31269766 | - |
Appears in Collections: | Articles publicats en revistes (Medicina) Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
12474_5752303_jcm-08-009611.pdf | 562.67 kB | Adobe PDF | View/Open |
This item is licensed under a Creative Commons License