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Updated: Mar 23, 2026
Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Published on: May 6, 2014
[Pneumonia at a multidisciplinary hospital].
A L Vertkin1, Zh M Oralbekova1
1A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia, Moscow, Russia.
Fatal outcomes in community-acquired pneumonia are often underestimated due to inadequate monitoring and application of diagnostic and therapeutic approaches. This study reveals key clinical features and predictors of mortality in pneumonia patients.
Area of Science:
- Pulmonology
- Pathology
- Critical Care Medicine
Context:
- Community-acquired pneumonia (CAP) is a significant cause of mortality.
- Autopsy data from 6,500 cases revealed 1,631 deaths due to pneumonia.
- Pneumonia was a primary diagnosis in 6.4% and a fatal complication in 93.6% of cases.
Purpose:
- To identify clinical and morphological features of fatal community-acquired pneumonia.
- To determine predictors of mortality in patients with pneumonia.
- To assess the underestimation of risk factors and inadequate application of diagnostic/therapeutic approaches.
Summary:
- Analysis of 1,631 autopsy cases showed pneumonia as a fatal complication in 93.6%, frequently associated with COPD, alcohol intoxication, cardiovascular diseases, or cancers.
- Severity assessment indicated 92% required intensive care unit admission (CURB-65) and 60% required hospitalization (PORT scale).
- Disseminated, lobular, or overwhelming pneumonia were the predominant forms.
Impact:
- Highlights the underestimation of pneumonia-related mortality risk factors in clinical practice.
- Underscores the need for improved monitoring of disease progression.
- Emphasizes the inadequate application of current diagnostic and therapeutic strategies for severe pneumonia.
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