The impact of an early chest radiograph on outcome in patients hospitalised with community-acquired pneumonia

Bewick, Thomas; Greenwood, Sonia; Lim, Wei Shen

doi:10.7861/clinmedicine.10-6-563

Cited by 10 publications

(5 citation statements)

References 31 publications

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“…In our series, mortality (2.5% for inpatients and 0% for outpatients) was low and length of stay short, probably related to PSI distribution of patients at admission. However, other indices of patient evolution as readmission (19.1%) or time to recovery (29.9 days) were similar or slightly higher than those published [7,37,46,47]. As in a previous study [48], readmissions were associated with comorbidities.…”

Section: Discussionsupporting

confidence: 77%

Retrospective epidemiological study for the characterization of community- acquired pneumonia and pneumococcal pneumonia in adults in a well-defined area of Badalona (Barcelona, Spain)

et al. 2012

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BackgroundCommunity-acquired pneumonia (CAP) has large impact on direct healthcare costs, especially those derived from hospitalization. This study determines impact, clinical characteristics, outcome and economic consequences of CAP in the adult (≥18 years) population attended in 6 primary-care centers and 2 hospitals in Badalona (Spain) over a two-year period.MethodsMedical records were identified by codes from the International Classification of Diseases in databases (January 1st 2008-December 31st 2009).ResultsA total of 581 patients with CAP (55.6% males, mean age 57.5 years) were identified. Prevalence: 0.64% (95% CI: 0.5%-0.7%); annual incidence: 3.0 cases/1,000 inhabitants (95% CI: 0.2-0.5). Up to 241 (41.5%) required hospitalization. Hospital admission was associated (p<0.002) with liver disease (OR=5.9), stroke (OR=3.6), dementia (OR=3.5), COPD (OR=2.9), diabetes mellitus (OR=1.9) and age (OR=1.1 per year). Length of stay (4.4±0.3 days) was associated with PSI score (β=0.195), in turn associated with age (r=0.827) and Charlson index (r=0.497). Microbiological tests were performed in all inpatients but only in 35% outpatients. Among patients with microbiological tests, results were positive in 51.7%, and among them, S pneumoniae was identified in 57.5% cases. Time to recovery was 29.9±17.2 days. Up to 7.5% inpatients presented complications, 0.8% required ICU admission and 19.1% readmission. Inhospital mortality rate was 2.5%. Adjusted mean total cost was €2,332.4/inpatient and €698.6/outpatient (p<0.001). Patients with pneumococcal CAP (n=107) showed higher comorbidity and hospitalization (76.6%), higher PSI score, larger time to recovery and higher overall costs among inpatients.ConclusionsStrategies preventing CAP, thus reducing hospital admissions could likely produce substantial costs savings in addition to the reduction of CAP burden.

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Section: Discussionsupporting

confidence: 77%

Retrospective epidemiological study for the characterization of community- acquired pneumonia and pneumococcal pneumonia in adults in a well-defined area of Badalona (Barcelona, Spain)

et al. 2012

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“…B. Herzinsuffizienz) 3. von Komplikationen (Pleuraerguss, Abszedierung) Zudem liefert er eine Hilfestellung bei differenzialdiagnostischen Überlegungen (Lungentuberkulose, Lungenkrebs) und einen Ausgangsbefund, falls eine Kontrolle im Verlauf der Erkrankung indiziert ist. Die Durchführung einer Röntgenaufnahme < 4 h nach Aufnahme ist mit einer schnelleren Fallfindung, einem verkürzten Zugang zu einer antimikrobiellen Therapie und einer kürzeren Verweildauer assoziiert [38]. Durch die Röntgenuntersuchung des Thorax können Komplikationen wie ein Pleuraerguss oder ein Lungenabszess zeitnah diagnostiziert werden [39,40].…”

Section: Radiologische Und Sonografische Diagnostikunclassified

Behandlung von erwachsenen Patienten mit ambulant erworbener Pneumonie und Prävention – Update 2016

et al. 2016

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The present guideline provides a new and updated concept of treatment and prevention of adult patients with community-acquired pneumonia. It replaces the previous guideline dating from 2009.The guideline was worked out and agreed on following the standards of methodology of a S3-guideline. This includes a systematic literature search and grading, a structured discussion of recommendations supported by the literature as well as the declaration and assessment of potential conflicts of interests.The guideline has a focus on specific clinical circumstances, an update on severity assessment, and includes recommendations for an individualized selection of antimicrobial treatment as well as primary and secondary prevention.

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“…sogar als einzige Symptome. [38]. Durch die Röntgenuntersuchung des Thorax können Komplikationen wie ein Pleuraerguss oder ein Lungenabszess zeitnah diagnostiziert werden [39,40].…”

Section: Klinische Diagnostikunclassified

Bei Pneumonie-Symptomen immer auch an atypische Erreger denken!

Draenert¹,

Jung

Seybold

et al. 2018

MMW - Fortschritte der Medizin

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The impact of an early chest radiograph on outcome in patients hospitalised with community-acquired pneumonia

Cited by 10 publications

References 31 publications

Retrospective epidemiological study for the characterization of community- acquired pneumonia and pneumococcal pneumonia in adults in a well-defined area of Badalona (Barcelona, Spain)

Retrospective epidemiological study for the characterization of community- acquired pneumonia and pneumococcal pneumonia in adults in a well-defined area of Badalona (Barcelona, Spain)

Behandlung von erwachsenen Patienten mit ambulant erworbener Pneumonie und Prävention – Update 2016

Bei Pneumonie-Symptomen immer auch an atypische Erreger denken!

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