What question did this study set out to answer?

To examine the predisposing factors, microbiological causes, treatment requirements, and prognostic determinants of mortality in patients admitted to an intensive care unit with severe community-acquired pneumonia.

January 1, 1985Archives of Physiology and Biochemistry

Severe Community-acquired Pneumonia: Factors Influencing Need of Intensive Care Treatment and Prognosis

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Authors

ÅÖÅke ÖrtqvistKarolinska Institutet GSG SternerBoston Children's Hospital JNJ. Axel NilssonLund University

Discussion

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Implication

Retrospective study reveals a 25% acute mortality rate in severe community-acquired pneumonia requiring intensive care, highlighting advanced age and low leukocyte count as key risk factors.

Key Points

To examine the predisposing factors, microbiological causes, treatment requirements, and prognostic determinants of mortality in patients admitted to an intensive care unit with severe community-acquired pneumonia.
Retrospective review of 53 patients with severe community-acquired pneumonia admitted to an intensive care unit.
Evaluation of underlying conditions, identified pathogens, necessity for mechanical ventilation, and mortality across hospital admission and an average follow-up of 3.25 years.
Predisposing factors were documented in 77% of patients, and an etiology was confirmed in 53%, primarily Streptococcus pneumoniae.
Immediate active intervention was required in 70% of patients and mechanical ventilation in 58%, yielding an acute mortality of 25% (32% among mechanically ventilated patients) and a long-term mortality of 39%.
Significantly elevated mortality was linked to older age, prior immunocompromised status, and admission leukocyte counts ≤ 9 × 10⁹/L.

Cite This Study

Örtqvist et al. (1985) studied this question.

synapsesocial.com/papers/6a772dfade5e3adfbdf6f93a https://doi.org/10.3109/13813458509058778

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January 1, 1985Archives of Physiology and Biochemistry

Severe Community-acquired Pneumonia: Factors Influencing Need of Intensive Care Treatment and Prognosis

View Full Paper

Ask AI

Bookmark

Authors

ÅÖÅke ÖrtqvistKarolinska Institutet GSG SternerBoston Children's Hospital JNJ. Axel NilssonLund University

Discussion

Member takes

Implication

Retrospective study reveals a 25% acute mortality rate in severe community-acquired pneumonia requiring intensive care, highlighting advanced age and low leukocyte count as key risk factors.

Key Points

To examine the predisposing factors, microbiological causes, treatment requirements, and prognostic determinants of mortality in patients admitted to an intensive care unit with severe community-acquired pneumonia.
Retrospective review of 53 patients with severe community-acquired pneumonia admitted to an intensive care unit.
Evaluation of underlying conditions, identified pathogens, necessity for mechanical ventilation, and mortality across hospital admission and an average follow-up of 3.25 years.
Predisposing factors were documented in 77% of patients, and an etiology was confirmed in 53%, primarily Streptococcus pneumoniae.
Immediate active intervention was required in 70% of patients and mechanical ventilation in 58%, yielding an acute mortality of 25% (32% among mechanically ventilated patients) and a long-term mortality of 39%.
Significantly elevated mortality was linked to older age, prior immunocompromised status, and admission leukocyte counts ≤ 9 × 10⁹/L.

Cite This Study

Örtqvist et al. (1985) studied this question.

synapsesocial.com/papers/6a772dfade5e3adfbdf6f93a https://doi.org/10.3109/13813458509058778

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