Chest
Clinical Investigations in Critical CareA Three-year Study of Severe Community-acquired Pneumonia With Emphasis on Outcome
Section snippets
Patients
We prospectively studied all the patients who had CAP admitted to the ICU at a 1,000-bed teaching hospital in Barcelona, Spain, from the beginning of 1988 until December of 1990. Community-acquired pneumonia was defined as an acute lower respiratory tract infection with onset before admission to the hospital plus the presence of pulmonary infiltrates on the chest radiograph compatible with acute pneumonia. Patients were admitted to the ICU either because they required mechanical ventilation or
RESULTS
We studied 58 consecutive patients (44 men and 14 women) who required hospitalization for SCAP in our ICU during a three-year period. The average age was 45.0 ± 15.7 years (range: 23 to 83 years). The most frequent underlying clinical conditioh was COPD (24 patients, 41.3 percent). On admission all patients had respiratory failure, five were mentally confused and six (10.3 percent) were in shock. Chest radiographs at admission showed unilateral involvement in 41 patients and bilateral in 17.
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Acute Pneumonia
2014, Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases
Manuscript received May 21; revision accepted May 21.