Mortality indicators in community-acquired pneumonia requiring intensive care in Turkey

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dc.authorid0000-0003-1184-4711en_US
dc.authorid0000-0002-6033-8543en_US
dc.authorid0000-0002-9515-770Xen_US
dc.authorid0000-0003-2294-489Xen_US
dc.authorid0000-0002-0553-8454en_US
dc.contributor.authorErdem, Hakan
dc.contributor.authorTurkan, Hulya
dc.contributor.authorCilli, Aykut
dc.contributor.authorKarakas, Ahmet
dc.contributor.authorKarakurt, Zuhal
dc.contributor.authorBilge, Ugur
dc.contributor.authorYazicioglu-Mocin, Ozlem
dc.contributor.authorElaldi, Nazif
dc.contributor.authorAdiguzel, Nalan
dc.contributor.authorGungor, Gokay
dc.contributor.authorTasci, Canturk
dc.contributor.authorYilmaz, Gulden
dc.contributor.authorOncul, Oral
dc.contributor.authorDogan-Celik, Aygul
dc.contributor.authorErdemli, Ozcan
dc.contributor.authorOztoprak, Nefise
dc.contributor.authorTomak, Yakup
dc.contributor.authorInan, Asuman
dc.contributor.authorKaraboga, Burcu
dc.contributor.authorTok, Demet
dc.contributor.authorTemur, Sibel
dc.contributor.authorOksuz, Hafize
dc.contributor.authorSenturk, Ozgur
dc.contributor.authorBuyukkocak, Unase
dc.contributor.authorYilmaz-Karadag, Fatma
dc.contributor.authorOzcengiz, Dilek
dc.contributor.authorTurker, Turker
dc.contributor.authorAfyon, Murat
dc.contributor.authorSamur, Anil Aktas
dc.contributor.authorUlcay, Asim
dc.contributor.authorSavasci, Umit
dc.contributor.authorDiktas, Husrev
dc.contributor.authorOzgen-Alpaydin, Aylin
dc.contributor.authorKilic, Erol
dc.contributor.authorBilgic, Hayati
dc.contributor.authorLeblebicioglu, Hakan
dc.contributor.authorUnal, Serhat
dc.contributor.authorSonmez, Guner
dc.contributor.authorGorenek, Levent
dc.date.accessioned2024-07-12T21:49:50Z
dc.date.available2024-07-12T21:49:50Z
dc.date.issued2013en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractBackground: Severe community-acquired pneumonia (SCAP) is a fatal disease. This study was conducted to describe an outcome analysis of the intensive care units (ICUs) of Turkey. Methods: This study evaluated SCAP cases hospitalized in the ICUs of 19 different hospitals between October 2008 and January 2011. The cases of 413 patients admitted to the ICUs were retrospectively analyzed. Results: Overall 413 patients were included in the study and 129 (31.2%) died. It was found that bilateral pulmonary involvement (odds ratio (OR) 2.5, 95% confidence interval (CI) 1.1-5.7) and CAP PIRO score (OR 2, 95% CI 1.3-2.9) were independent risk factors for a higher in-ICU mortality, while arterial hypertension (OR 0.3, 95% CI 0.1-0.9) and the application of non-invasive ventilation (OR 0.2, 95% CI 0.1-0.5) decreased mortality. No culture of any kind was obtained for 90 (22%) patients during the entire course of the hospitalization. Blood, bronchoalveolar lavage, and non-bronchoscopic lavage cultures yielded enteric Gram-negatives (n = 12), followed by Staphylococcus aureus (n = 10), pneumococci (n = 6), and Pseudomonas aeruginosa (n = 6). For 22% of the patients, none of the culture methods were applied. Conclusions: SCAP requiring ICU admission is associated with considerable mortality for ICU patients. Increased awareness appears essential for the microbiological diagnosis of this disease. (C) 2013 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.ijid.2013.03.015
dc.identifier.endpageE772en_US
dc.identifier.issn1201-9712
dc.identifier.issue9en_US
dc.identifier.pmid23664334en_US
dc.identifier.scopus2-s2.0-84881549480en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpageE768en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.ijid.2013.03.015
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8096
dc.identifier.volume17en_US
dc.identifier.wosWOS:000324172200021en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherELSEVIER SCI LTDen_US
dc.relation.ispartofINTERNATIONAL JOURNAL OF INFECTIOUS DISEASESen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY01294
dc.subjectCommunity-acquireden_US
dc.subjectpneumoniaen_US
dc.subjectOutcomeen_US
dc.subjectIntensive care uniten_US
dc.subjectCAPen_US
dc.subjectICUen_US
dc.titleMortality indicators in community-acquired pneumonia requiring intensive care in Turkeyen_US
dc.typeArticle
dspace.entity.typePublication

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