Etiological analysis and epidemiological comparison among adult CAP and NHCAP patients in Okinawa, Japan

Parrott, Gretchen; Nebeya, Daijiro; Kinjo, Takeshi; Miyagi, Kazuya; Haranaga, Shusaku; Higa, Futoshi; Tateyama, Masao; Fujita, Jiro

doi:10.1016/j.jiac.2017.03.018

Cited by 9 publications

(16 citation statements)

References 37 publications

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“…No significant differences were observed with respect to comorbidities and IHM in NV-HAP when the presence of BQ was taken into account. However, Parrot et al [15] found that the mortality of patients with HAP was associated with lung cancer and BQ.…”

Section: Discussionmentioning

confidence: 99%

“…In order to identify variables associated with IHM as a binary outcome among BQ patients with both types of pneumonia, we performed multivariable logistic regression analyses. The variables included in the models were those with significant results in the bivariable analysis and those considered relevant in other investigations [10][11][12][13][14][15]. The estimate applied was the odds ratio (OR) with its 95% CI.…”

Section: Methodsmentioning

confidence: 99%

“…The study population comprised all admissions of patients who were hospitalized with a diagnosis of pneumonia. We defined CAP as any hospitalization that included any of the following conditions: (i) any ICD-10 code from J12 to J18 as the primary diagnosis with a POA indicator of "Y"; and (ii) any ICD-10 code from J12 to J18 in any of the secondary diagnosis fields (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) and with a POA indicator of "Y". NV-HAP is defined as an episode of pneumonia unassociated with mechanical ventilation that is not incubating at the time of admission to hospital.…”

Section: Design Setting and Participantsmentioning

confidence: 99%

“…x was recorded in any position (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) and with a POA indicator of "Y" and "non-BQ patients" if no codes for BQ appeared in any diagnostic position. Thus, any patient that was diagnosed with BQ during the admission (POA indicator of "N") would not be included in our investigation.…”

Section: Design Setting and Participantsmentioning

confidence: 99%

“…Furthermore, the presence of BQ favors the development of respiratory infections, including pneumonia, and generates considerable health care costs [10]. Nevertheless, very few studies have evaluated the prevalence and characteristics of community-acquired pneumonia (CAP) in patients with BQ [11][12][13][14], and even fewer have examined non-ventilator hospital-acquired pneumonia (NV-HAP) [15]. Furthermore, when the diagnosis of BQ is delayed, we often discover numerous previous episodes of respiratory infection or pneumonia, with the consequent impairment of lung function and quality of life.…”

Section: Introductionmentioning

confidence: 99%

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Hospitalizations for Community-Acquired and Non-Ventilator-Associated Hospital-Acquired Pneumonia in Spain: Influence of the Presence of Bronchiectasis. A Retrospective Database Study

Sánchez-Muñoz

López‐de‐Andrés

Hernández-Barrera

et al. 2020

JCM

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To examine and compare in-hospital mortality (IHM) of community-acquired pneumonia (CAP) and non-ventilator hospital-acquired pneumonia (NV-HAP) among patients with or without bronchiectasis (BQ) using propensity score matching. A retrospective observational epidemiological study using the Spanish Hospital Discharge Records, 2016–17. We identified 257,455 admissions with CAP (3.97% with BQ) and 17,069 with NV-HAP (2.07% with BQ). Patients with CAP and BQ had less comorbidity, lower IHM, and a longer mean length of hospital stay (p < 0.001) than non-BQ patients. They had a higher number of isolated microorganisms, including Pseudomonas aeruginosa. In patients with BQ and NV-HAP, no differences were observed with respect to comorbidity, in-hospital mortality (IHM), or mean length of stay. P. aeruginosa was more frequent (p = 0.028). IHM for CAP and NV-HAP with BQ was 7.89% and 20.06%, respectively. The factors associated with IHM in CAP with BQ were age, comorbidity, pressure ulcers, surgery, dialysis, and invasive ventilation, whereas in NV-HAP with BQ, the determinants were age, metastatic cancer, need for dialysis, and invasive ventilation. Patients with CAP and BQ have less comorbidity, lower IHM and a longer mean length of hospital stay than non-BQ patients. However, they had a higher number of isolated microorganisms, including Pseudomonas aeruginosa. In patients with BQ and NV-HAP, no differences were observed with respect to comorbidity, in-hospital mortality, or mean length of stay, but they had a greater frequency of infection by P. aeruginosa than non-BQ patients. Predictors of IHM for both types of pneumonia among BQ patients included dialysis and invasive ventilation.

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Section: Discussionmentioning

confidence: 99%