RT Journal Article
SR Electronic
T1 Factors related with prolongued length of stay in good prognosis community acquired pneumonia
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P2697
VO 42
IS Suppl 57
A1 Pedro J. Marcos
A1 Iria Vidal
A1 Francisco Javier González-Barcala
A1 Pilar Sanjuán
A1 Héctor Verea
A1 Pedro Marcos-Velázquez
YR 2013
UL http://erj.ersjournals.com/content/42/Suppl_57/P2697.abstract
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.