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Factors associated with in-hospital mortality from community-acquired pneumonia in Portugal : 2000–2014

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dc.contributor.authorPessoa, Ezequiel
dc.contributor.authorBárbara, Cristina
dc.contributor.authorViegas, Laura
dc.contributor.authorCosta, Andreia
dc.contributor.authorRosa, Matilde
dc.contributor.authorNogueira, Paulo Jorge
dc.date.accessioned2020-01-23T15:09:52Z
dc.date.available2020-01-23T15:09:52Z
dc.date.issued2020
dc.description© The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.pt_PT
dc.description.abstractBackground: Community-acquired pneumonia (CAP) is one of the leading causes of morbidity and mortality worldwide, often leading to hospital admissions. In Portugal, the factors associated with in-hospital mortality due to CAP are not fully documented. The aim of this study was to characterize the trends of CAP hospitalization in all age groups and the factors associated with their mortality between 2000 and 2014. Methods: We conducted a cross-sectional study using CAP hospitalization data in all age groups, in Portugal Mainland. Logistic regression was used to identify the factors associated with in-hospital mortality. Results: Between 2001 and 2011, CAP hospitalization rate increased from 2.8 to 4.3 per 1000 population. Hospitalization rates were higher in the extreme ages ( ≤ 4 and ≥ 75 years). However, a decrease in the hospitalization rate and its mortality was observed, in the younger ages. A total of 548,699 hospitalization CAP episodes, between 2000 and 2014, were analyzed, with male (56.2%) and elderly ≥65 years (91.7%) predominance, resulting in 101,740 deaths (18.5%). Men had a significantly lower mean age (64.3 ± 26.4 years versus 67.9 ± 27.5 years; p < 0.001). During the studied 15 years, there was an increase of 45.2% in the number of annual hospitalizations, concomitant with the admission increase of individuals aged over 75 years. Since 2012 a decrease in hospitalizations and associated deaths were detected. The increase in age represented a progressive and significant rise in the probability of death, except for the age group 1–4 years. The age group ≥85 years old (Adjusted OR = 124.256; 95%CI: 97.838–157.807) and males (Adjusted OR = 1.261; 95%CI: 1.243–1.280) were significantly associated with death risk for CAP hospitalization. After 2010, this risk decreased (Adjusted OR = 0.961; 95%CI: 0.940–0.982). The main factors affecting mortality were age, sex, unemployment rate, number of performed procedures and admission quinquennia. Conclusions: Despite a trend of decrease in CAP hospitalizations and associated death since 2012, the numbers of in-hospital mortality showed, in the 15 years under analysis, an overall increase over time, mainly associated with age, in particular very old people ( ≥ 75 years), males and a higher parish unemployment rate. Therefore, the implementation of CAP preventive measures should be reinforced in these vulnerable groups.pt_PT
dc.description.sponsorshipThis publication was funded by Fundação para a Ciência e a Tecnologiapt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBMC Pulm Med 20, 18 (2020)pt_PT
dc.identifier.doi10.1186/s12890-019-1045-xpt_PT
dc.identifier.eissn1471-2466
dc.identifier.urihttp://hdl.handle.net/10451/41354
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMCpt_PT
dc.relation.publisherversionhttps://bmcpulmmed.biomedcentral.com/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCommunity-acquired pneumoniapt_PT
dc.subjectIn-hospital mortalitypt_PT
dc.subjectPortugalpt_PT
dc.titleFactors associated with in-hospital mortality from community-acquired pneumonia in Portugal : 2000–2014pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.startPage18pt_PT
oaire.citation.titleBMC Pulmonary Medicinept_PT
oaire.citation.volume20pt_PT
person.familyNamePessoa
person.familyNameBárbara
person.familyNameJorge Silva da Costa
person.familyNameNogueira
person.givenNameEzequiel
person.givenNameCristina
person.givenNameAndreia
person.givenNamePaulo Jorge
person.identifier1330713
person.identifier1013768
person.identifier.ciencia-id8B14-6052-FB9C
person.identifier.ciencia-id171F-DE21-B23B
person.identifier.ciencia-id071D-4FEB-416D
person.identifier.ciencia-id2410-2DCC-F213
person.identifier.orcid0000-0002-0756-2693
person.identifier.orcid0000-0003-0915-4105
person.identifier.orcid0000-0002-2727-4402
person.identifier.orcid0000-0001-8316-5035
person.identifier.ridAAR-5605-2020
person.identifier.scopus-author-id6701574502
person.identifier.scopus-author-id57221614154
person.identifier.scopus-author-id7005428250
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication275236c6-a424-4992-98ce-c8e91e6824f7
relation.isAuthorOfPublicationa16c0cb5-c7f4-4cca-b9f9-bbeb6d35c474
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relation.isAuthorOfPublication9d24d0e5-5fab-4fef-b962-b0333e28f9d1
relation.isAuthorOfPublication.latestForDiscovery275236c6-a424-4992-98ce-c8e91e6824f7

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