PT  - JOURNAL ARTICLE
AU  - Pedro J. Marcos
AU  - Iria Vidal
AU  - Francisco Javier González-Barcala
AU  - Pilar Sanjuán
AU  - Héctor Verea
AU  - Pedro Marcos-Velázquez
TI  - Factors related with prolongued length of stay in good prognosis community acquired pneumonia
DP  - 2013 Sep 01
TA  - European Respiratory Journal
PG  - P2697
VI  - 42
IP  - Suppl 57
4099  - http://erj.ersjournals.com/content/42/Suppl_57/P2697.short
4100  - http://erj.ersjournals.com/content/42/Suppl_57/P2697.full
SO  - Eur Respir J2013 Sep 01; 42
AB  - Aim:to know the reasons related with a prolonged hospitalization in patients with low risk community acquired pneumonia (CAP).Methods:Prospective,multicenter study,6 Spanish hospitals.Inclusion:admission due to CAP between 10/1/2008 and 10/1/2010, x-ray confirmatory and a pneumonia severity index (PSI) 1 or 2.Two groups:prolonged length of stay(PLOS)-hospitalization higher than the mean lenght of stay- and short length of stay (SLOS).Results:155 patients were analyzed (56,1% men, 45,7 yo (SD 15,1).No differences in toxic habits, oral intolerance, previous antibiotic treatment or comorbidities. No differences in microbiological diagnosis, ICU admission, re-admission or mortality at 30 and 60 days. There were no differences in the clinical and laboratory results which play a role in the PSI score, with the exception of pleural effusion which was more frequent in patients with PLOS [13(19.1%) vs. 4(4.6%); p=0.004]. SLOS had a shorter duration of intravenous antibiotic therapy (10.3[SD 2.52]; vs. 15.57[SD 8.3 days)], p<0.001;and SLOS patients were treated more frequently with levofloxacin in monotherapy [58(66.7%) vs. 34 (50%); p=0.036]. Patients with SLOS were admitted more frequently if the reason for admission were presence of an unstable comorbidity (7[10.3%] vs. 2[2.3%]; p=0.035, tachycardia (6[8.8%] vs. 0; p=0.005), renal failure(11[16.2%] vs. 4[4.6%] or empyema’s suspicion (6[8.8%] vs. 0; p=0.005).Conclusions: Tachycardia, renal failure, pleural effusion, empyema suspicion and the presence of an unstable comorbidity as the reason for admissions, plus a lower treatment with levofloxacin are related with a prolonged hospitalization in low risk CAP patients admitted to hospital.