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Prevalence and risk factors of sepsis in very old patients with CAP

Catia Cilloniz Campos, Cristina Dominedò, Antonella Ielpo, Miquel Ferrer, Albert Gabarrús, Denise Battaglini, Jesús Bermejo-Martin, Andrea Meli, Carolina García-Vidal, Adamanthia Liapikou, Antoni Torres
European Respiratory Journal 2019 54: PA2907; DOI: 10.1183/13993003.congress-2019.PA2907
Catia Cilloniz Campos
1Department of Pneumology, Hospital Clinic of Barcelona; August Pi i Sunyer Biomedical Research Institute - IDIBAPS, University of Barcelona; Biomedical Research Networking Centres in Respiratory Diseases (Ciberes), Barcelona, Spain
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  • For correspondence: catiacilloniz@yahoo.com
Cristina Dominedò
2Department of Anesthesiology and Intensive Care Medicine, Fondazione Policlinico Universitario A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy
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Antonella Ielpo
3Departments of Medicine and Surgery, Respiratory Disease and Lung Function Unit, University of Parma, Parma, Italy
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Miquel Ferrer
1Department of Pneumology, Hospital Clinic of Barcelona; August Pi i Sunyer Biomedical Research Institute - IDIBAPS, University of Barcelona; Biomedical Research Networking Centres in Respiratory Diseases (Ciberes), Barcelona, Spain
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Albert Gabarrús
1Department of Pneumology, Hospital Clinic of Barcelona; August Pi i Sunyer Biomedical Research Institute - IDIBAPS, University of Barcelona; Biomedical Research Networking Centres in Respiratory Diseases (Ciberes), Barcelona, Spain
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Denise Battaglini
4Department of Surgical Sciences and Integrated Diagnostic, Policlinico San Martino, University of Genova, Genova, Italy
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Jesús Bermejo-Martin
5Group for Biomedical Research in Sepsis (Bio Sepsis), Hospital Clínico Universitario de Valladolid/IECSCYL, Valladolid, Spain
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Andrea Meli
6University of Milan, Milan, Italy
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Carolina García-Vidal
7Infectious Diseases Department, Hospital Clinic of Barcelona, Barcelona, Spain
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Adamanthia Liapikou
8Respiratory Department, Sotiria Chest Diseases Hospital, Mesogion 152, Athens, Greece
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Antoni Torres
1Department of Pneumology, Hospital Clinic of Barcelona; August Pi i Sunyer Biomedical Research Institute - IDIBAPS, University of Barcelona; Biomedical Research Networking Centres in Respiratory Diseases (Ciberes), Barcelona, Spain
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Abstract

There is limited information about sepsis in very old patients with community-acquired pneumonia (CAP).

Retrospective study on data prospectively collected at the H. Clinic of Barcelona, including very old patients (≥80years) hospitalized with CAP between 2005-2017. We aimed to investigate the prevalence, etiology, risk factors and clinical outcomes of this population, comparing patients with and without sepsis (SEPSIS-3 criteria).

Among 4190 patients hospitalized with CAP, 1136 (27%) were very old. The incidence of sepsis was 70% (n=795). There was no significant difference in the distribution of pathogens in patients with and without sepsis. Male sex (OR 1.86) and chronic renal disease (OR 2.01) were independent RF for sepsis in the multivariable analysis, while prior antibiotic therapy before admission (OR 0.71 ) was independently associated to a lower risk of sepsis (Figure 1). 1-year mortality was higher in patients with sepsis. A propensity-adjusted multivariable analysis showed that RF for 30-day mortality in septic patients were chronic renal disease (OR 2.62) and neurological disease (OR 2.56), while diabetes mellitus (OR 0.43) was a protective factor (Fig1).

Figure1
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In very old patients hospitalized with CAP, prior antibiotic therapy was associated with a decreased risk of sepsis, whereas diabetes mellitus was associated with a decreased risk of 30-day mortality.

  • Pneumonia
  • Elderly
  • Sepsis

Footnotes

Cite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA2907.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2019
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Prevalence and risk factors of sepsis in very old patients with CAP
Catia Cilloniz Campos, Cristina Dominedò, Antonella Ielpo, Miquel Ferrer, Albert Gabarrús, Denise Battaglini, Jesús Bermejo-Martin, Andrea Meli, Carolina García-Vidal, Adamanthia Liapikou, Antoni Torres
European Respiratory Journal Sep 2019, 54 (suppl 63) PA2907; DOI: 10.1183/13993003.congress-2019.PA2907

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Prevalence and risk factors of sepsis in very old patients with CAP
Catia Cilloniz Campos, Cristina Dominedò, Antonella Ielpo, Miquel Ferrer, Albert Gabarrús, Denise Battaglini, Jesús Bermejo-Martin, Andrea Meli, Carolina García-Vidal, Adamanthia Liapikou, Antoni Torres
European Respiratory Journal Sep 2019, 54 (suppl 63) PA2907; DOI: 10.1183/13993003.congress-2019.PA2907
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