TY - JOUR T1 - Mortality and cost analysis of community acquired pneumonia cases requiring intensive care unit follow up according to seasons JF - European Respiratory Journal JO - Eur Respir J VL - 38 IS - Suppl 55 SP - p2056 AU - Ozlem Yazicioglu Mocin AU - Gulgun Cetintas AU - Cuneyt Salturk AU - Nalan Adiguzel AU - Gokay Gungor AU - Huri Ozkan Yilmaz AU - Merih Kalamanoglu Balci AU - Necla Ornek AU - Donduye Ozgul AU - Besir Uysal AU - Semra Bati Kutlu AU - Zuhal Karakurt AU - Adnan Yilmaz Y1 - 2011/09/01 UR - http://erj.ersjournals.com/content/38/Suppl_55/p2056.abstract N2 - Aim: We intended to evaluate seasonal analysis, cost and general mortality of community acquire pneumonia (CAP) cases requiring intensive care unit (ICU) follow up.Mateial-method: Retrospective, descriptive cohort study. Between 2008-2010 demographics, initial APACHE II, pneumonia severity index (PSI), CURB score, duration and application of invasive mechanical ventilation (IMV), length of stay (LOS) in ICU, cost and mortality of CAP cases followed in 20 bed ICU were recorded. Seasonal variation was investigated. Patient's data were summarized with descriptive statistics. Numerical values were presented as median and inter quartile ratio (IQR).Results: In specified period 218 CAP cases (192 males) were retrieved in the study. The median value of age, APACHE II, PSI and CURB were 65 (53-76), 20 (16-26), 130 (103-162), 2 (1-3), respectively. IMV was applied in 96 (34%) patients, the median value of LOS in ICU and cost according to seasons were 7 (5-13) days, 3953 (2418-6821)TL in autumn; 7 (4-11) days, 3372 (2023-6694)TL in winter; 8 (3-12)days, 5215 (1634-6751)TL in spring; 6 (3-9)days, 2937 (1634-4268)TL in summer, respectively. CAP/mortality rate according to seasons were 88 (31.4%)/43.1% for autumn; 80 (28.6%)/27.5% for winter; 49 (17.5%)/15.7% for spring; 63 (22.5%)/13.7% for summer, respectively. The cost and general mortality in CAP were 3417 (1916-6114) and 18.1%, respectively.Conclusion: As general cost of CAP cases requiring ICU and mortality of these cases have increased by 1.5 times in spring and 3 times in autumn, respectively, it should be advised to beware of LOS in ICU and risk of mortality in those seasons. ER -