predictors of mortality from community-acquired pneumonia  in the modern conditions of pulmonoloGy center

Borodulina, Elena; Borodulin, B. E.; POVALJAEVA, LJUDMILA V.; Chernogaeva, G. Yu.; Vdoushkina, E. S.

doi:10.20969/vskm.2015.8(4).19-22

Cited by 5 publications

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“…В Российской Федерации, по данным официальной статистики, ежегодно регистрируется около 500 тыс. случаев пневмонии, хотя их предполагаемое число составляет около 1,5 млн [2]. Пневмонии занимают первое место среди причин летальности от инфекционных болезней и шестое место -среди всех причин летальности [1].…”

Section: Summary Introductionunclassified

Features of Severe Course and Fatal Outcomes of Community-Acquired Pneumonia at the Example of Krasnoyarsk Region

Гордеева

Демко

Korchagin

et al. 2019

Bûlletenʹ fiziologii i patologii dyhaniâ

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Контактная информация Наталья Владимировна Гордеева, канд. мед. наук, доцент кафедры внутренних болезней и иммунологии с курсом ПО, Федеральное государственное бюджетное образовательное учреждение высшего образования «Красноярский государственный медицинский университет имени профессора В.Ф.Войно-Ясенецкого» Министерства здравоохранения Российской Федерации,

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Section: Summary Introductionunclassified

Features of Severe Course and Fatal Outcomes of Community-Acquired Pneumonia at the Example of Krasnoyarsk Region

Гордеева

Демко

Korchagin

et al. 2019

Bûlletenʹ fiziologii i patologii dyhaniâ

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Experience in the use of extracorporeal membrane oxygenation in the treatment of severe viral and bacterial pneumonia

Borodulina

Bogdanova

Borodulin

et al. 2020

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Fatal severe community-acquired pneumonia: risk factors, clinical characteristics and medical errors of hospital patients

Postnikova

Климкин

Болдина

et al. 2020

Terapevticheskii arkhiv

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Community-acquired pneumonia (CAP) is the most common disease and potentially life-threatening infection in the worldwide. In the Nizhny Novgorod region, no analysis of the causes of mortality and medical errors of severe CAP patients. Aim. To analyze the patients structure who died severe CAP in hospitals of the Nizhny Novgorod region, to identify the leading risk factors, to assess the clinical characteristics of fatal severe CAP and medical errors according to medical records of patients from 20152016. Materials and methods. This was a retrospective study of medical records of 139 patients with fatal severe CAP from medical organizations of the Nizhny Novgorod region. The 72 patients died in 2015. The mortality rate from pneumonia was 67 cases in 2016. Results. The key predictors of the fatal severe CAP in patients of the Nizhny Novgorod region identified: socio-demographic status (men of working age, unemployed, smoking, alcohol and drug dependence), late treatment and hospitalization, tachypnea, hypotension, tachycardia, confusion, leukocytosis or leukopenia, thrombocytopenia, anemia, hyperglycemia, bilateral lung damage, pleural effusion, acute respiratory failure. The leading medical errors in fatal CAP were incorrect assessment of the severity of the patients condition, untimely CAP, non-monitoring of SpO2 on the first day of hospitalization, late transfer of patients to the intensive care unit, there was no influenza therapy, inadequate starting antibacterial therapy. Conclusion. The main ways to avoid or minimize medical errors and reduce the mortality of patients with TVP is strict adherence to clinical recommendations, active preventive measures, diagnosis and treatment of chronic diseases.

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predictors of mortality from community-acquired pneumonia in the modern conditions of pulmonoloGy center

Cited by 5 publications

References 0 publications

Features of Severe Course and Fatal Outcomes of Community-Acquired Pneumonia at the Example of Krasnoyarsk Region

Features of Severe Course and Fatal Outcomes of Community-Acquired Pneumonia at the Example of Krasnoyarsk Region

Experience in the use of extracorporeal membrane oxygenation in the treatment of severe viral and bacterial pneumonia

Fatal severe community-acquired pneumonia: risk factors, clinical characteristics and medical errors of hospital patients

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