PT  - JOURNAL ARTICLE
AU  - Maria Korzeniewska-Kosela
TI  - Characteristics of tuberculosis (TB) in patients that died from TB in Poland
AID  - 10.1183/13993003.congress-2016.PA2735
DP  - 2016 Sep 01
TA  - European Respiratory Journal
PG  - PA2735
VI  - 48
IP  - suppl 60
4099  - http://erj.ersjournals.com/content/48/suppl_60/PA2735.short
4100  - http://erj.ersjournals.com/content/48/suppl_60/PA2735.full
SO  - Eur Respir J2016 Sep 01; 48
AB  - BACKGROUND: In the low TB incidence countries cases have been concentrated in the social risk groups.AIM: To identify factors associated with TB death.METHODS: Analysis of the data from the National TB Register concerning cases of death from TB (D) and patients with treatment success (TS), 2004-2015. χ2 and F tests to assess significance (Si) and the multivariate logistic regression (MLR) were used. P<0.05 was regarded as Si.RESULTS: 2,176 D and 71,954 TS were notified. The percentage of men in D was 75.3%; in TS 65.2% (Si). Mean age of D was 62.8 yrs (SD±15.9); of TS 51.8 (SD±17.3) (Si). Homelessness occurred in 5.7% of D and in 2% of TS; 62.5% of D and 46.8% of TS were unmarried (Si). 16.4% of D and 10.4% of TS had TB therapy in the past (Si). The past treatment was incorrect in 20.4% of D and in 11.8% of TS (Si). 2.7% of D and 4.7% of TS had extrapulmonary TB (Si). TB was culture confirmed in 84.2% of D and in 63.7% of TS (Si). Sputum smears were positive in 62.2% of D and in 38.6% of TS (Si). Caseous pneumonia occurred in 5.5% of D and in 1.2% of TS; infiltrative TB in 84.3% of D and in 92% of TS; fibrocavernous in 3.9% of D and in 1.2% of TS; miliary in 2.5% of D and in 0.3% of TS (all Si). 4.1% of D and 0.2% of TS had MDR-TB (Si). In MLR male sex, older age, homelessness, unemployment, pulmonary TB, having otherthan infiltrative form of pulmonary TB, MDR-TB were the independent risk factors for TB death.CONCLUSIONS: In the group of TB death there are phenomena which indicate belonging of the patients to the social risk groups as well as TB diagnosis delay. Screening for TB in vulnerable groups could be considered to prevent delay in diagnosis and death from TB.