Aims: The aim of the study was to estimate the incidence of Community-acquired pneumonia (CAP) among patients with chronic obstructive pulmonary disease (COPD).
Study Design: A retrospective cohort study.
Place and Duration of Study: King Abdulaziz Medical City in Riyadh between January 2016 to March 2018.
Methodology: From the medical file, we identified patients with COPD diagnosis who admitted to the hospital. Then we identified the patient who develop CAP after the diagnosis date of the COPD. Other variables such as demographic factors, clinical outcome, comorbidity disease, length of stay in the hospital, and mortality were identified for each patient using their electronic medical file.
Results: Out of 363 COPD patients, 122 (33%) had developed CAP after the date of COPD diagnosis. Based on patient characteristics, the mean age of them was 75.39 years SD was 9.76 and 65% of the patients were female. The available evidence indicates that the mortality rate was n=22 (18.0%). Among those patient, 33 patients were admitted to ICU (27.0%) the rest of patients either wards n= 59 (48.4%) or both n=28 (23.0%). Among our study population, 97.4% had hypertension, 88.6% of the patients had diabetes, and 28.9% had renal failure. Majority of the study population have been placed on non-invasive ventilation n=94 (77.0%).
Conclusion: This study has been shown that COPD patients had increased risk of CAP. Patients who have multiple comorbidity diseases and got CAP with COPD have a higher risk of morbidities and mortality rate, especially elderly patients.Mention the design of the study here.
Introduction:The impact of non-invasive ventilation on neuromuscular disease (NMD) has become evident over the past two decades due to frequent use of this technique. It allows some patients with non-progressive pathology to almost live a normal life. The purpose of this study is to indicate the impact of NIV and its results in NMD patients. Objectives: The primary objectives for the study were to find the incidence and outcome of NMD patient on NIV, to determine whether NIV can avoid intubation and Mechanical ventilation and to compare vital signs and arterial blood gas parameters before and after NIV. Methodology: This retrospective study was conducted during a period from January 2010 to October 2017 in King Abdul-Aziz Medical city (KAMC). The data was collected from Medical Record Department. The collected data got statistically analyzed and results obtained by using SPSS software. A total number of 21 patients admitted in KAMC in adult ICUs, wards, and Emergency room for both males and females with neuromuscular diseases with an age above 18 years old were included. Parameters related to patients and NIV were collected and recorded in an excel sheet and there by SPSS software. Results: A total of 21 patients enrolled in this study. There were 14 males and 7 females. The minimum age 19 years old and the maximum 81 years old with a mean age of 45. Arterial Blood Gas done Pre and Post NIV and compared using paired't' test. The pre and post pH on NIV was significant with a P value (p: 0.029). The pre and post PaCO2 on NIV with a P value (P: 0.034) and oxygenation in pre and post NIV with a P value (P: 0.008) was also significant. Conclusion: In this study, since most of the results indicates poor prognosis, it is difficult to say that NIV improve the quality of life. This can be due to the limitations and bias in the study like the heterogeneity of the diseases and bias can be due to the hospital and its policies.
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