Citas bibligráficas
Santa, C., (2017). Indice de severidad de neumonia como predictor de mortalidad en neumonia adquirida en la comunidad [Tesis, Universidad Privada Antenor Orrego]. https://hdl.handle.net/20.500.12759/2669
Santa, C., Indice de severidad de neumonia como predictor de mortalidad en neumonia adquirida en la comunidad [Tesis]. PE: Universidad Privada Antenor Orrego; 2017. https://hdl.handle.net/20.500.12759/2669
@misc{renati/1350124,
title = "Indice de severidad de neumonia como predictor de mortalidad en neumonia adquirida en la comunidad",
author = "Santa Cruz Lozano, Cyndi Katherine",
publisher = "Universidad Privada Antenor Orrego",
year = "2017"
}
Introduction: Community-acquired pneumonia (CAP) is a pathology of importance due to its morbidity and mortality in the general population. Therefore, early identification and determination of the severity of the disease are of vital importance in the management of the patient with CAP. Objective: There are few studies that determine the validity of the pneumonia severity index (PSI) in Peru, so it is attempted to determine the prediction of mortality in CAP. Material and methods: This is a retrospective case-control study. Clinical records were reviewed between January and December 2016 at the Base Hospital Víctor Lazarte Echegaray, Trujillo. We included 93 adult patients, divided into 31 patients for the group of cases and 62 patients for the control group, all patients were diagnosed with CAP and met the selection criteria. Results: The average age of participants was 76.1 years. The group of cases had a mean age of 82.1 years and 73.1 years the control group. Males were the predominant among patients who died of CAP (55%). The most frequent comorbidities observed were renal insufficiency (48% for both groups), cerebrovascular accident (26% in cases and 27% in controls) and heart failure (10% in the group of cases and 24% in the controls), none of the comorbidities significantly increased mortality. There were no significant differences (p = 0.106) between deceased and survivors when using the pneumonia severity index. 58.1% of patients in category IV of the PSI died, unlike the 35.5% in category V. The odds ratio (odds ratio) was 2.91 for mortality by NAC in category IV, unlike category V that had a ratio of possibilities less than 1 (OR = 0.48 95% CI: 0.20 - 1.18). Conclusion: The severity index of pneumonia ““PSI““ was not useful to evaluate the risk of mortality by CAP.
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