RT Journal Article
SR Electronic
T1 Mortality related factors in aspiration pneumonia
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA2119
DO 10.1183/1393003.congress-2017.PA2119
VO 50
IS suppl 61
A1 Fatma Erboy
A1 Bulent Altinsoy
A1 Muge Meltem Tor
A1 Figen Atalay
YR 2017
UL http://erj.ersjournals.com/content/50/suppl_61/PA2119.abstract
AB Introduction: Aspiration pneumonia (AP) is a mortal disease but data about mortality related factors is limited.Aims: We aimed to analyze factors that affect in-hospital mortality in patients admitted to intensive care unit (ICU) with AP.Methods: Data of patients admitted to our respiratory ICU with AP between July 2013 and June 2015 were analyzed retrospectively. Demographic, clinical and laboratory data were noted. Glasgow Coma Score (GCS), Acute Physiology and Chronic Health Evaluation(APACHE-II), Simplified Acute Physiology Score(SAPS-II), Pneumonia Severity Index(PSI), Charlson Comorbidity Index(CCI), Sepsis Related Organ Failure Assessment Score(SOFA) were calculated. Patients were divided into two groups as ”exitus” and “discharged from hospital”.Results: 73 patients (63% males, mean age:77.01±13.31) were included.In-hospital mortality rate was 49.3%(36/73). All calculated scores excluding CCI, serum sodium (Na) and albümin levels, arterial lactate level, heart rate and peripheric oxygen saturation(SpO2) were significantly different in two groups.Conclusions: Clinical scoring systems are useful for mortality prediction in AP. Patients in exitus group had higher arterial lactate and lower albumin levels indicating dehydration and poor oral intake. Thus appropriate hydration and nutrition of this patient population is crucial. Exitus(n=36)Discharged(n=37)pGCS8,33±3,7911,51±3,15<0,001APACHE-II27,83±7,1222,35±5,100,001SAPS-II52,38±16,7940,21±10,560,002PSI164,78±27,36142,92±29,020,002SOFA8,04±3,114,77±2,70<0,001Serum Na142,36±8,08137,84±7,700,025Serum Albumin2,93±0,673,31±0,530,014Arterial Lactate2,54±1,971,86±1,320,024Heart rate117,17±26,76103,51±28,370,027SPO277,71±12,4582,59±11,840,038