Centro Provincial de Información de Ciencias Médicas. Cienfuegos
Abstract
Foundation: acquired pneumonia is an important health problem in many countries including Cuba.Objective: to determine the main factors related to lethality, in admitted patients with pneumonia acquired in the community.Method: prospective study of case series, with correlational descriptive design; a number of 521 admitted patients were studied between April the 1st 2016 and March 31st 2018. The information was obtained from clinical records, grouped in four variable categories: those related to patient´s conditions, to pathological process, analytic and therapeutic intervention. For the statistical analysis it was used odds ratio (OR) and confidence interval.Results: lethality was higher in patients older than 75 years (40 %); in patients previously laid in bed (47 % vs 22 %), in cases with chronic diseases (31 % vs 18 %), and those with history of cardio-sclerosis (35 % vs 24 %) and dementia (50 % vs 26 %). In addition, there was an association between lethality and severity of the disease on admission, extension of the lesions on thoracic x-ray over a lobule limit and lying in bed during admission.Conclusion: the importance of factors related to the patient´s conditions is confirmed, the morbid process itself with lab tests and therapeutic intervention, in the final evolution of the patient with community acquired pneumonia.</p
