社区获得性肺炎患者的预后和结果. 一个元分析
M J Fine1, M A Smith, C A Carson
1Department of Medicine, University of Pittsburgh, Pa., USA.
JAMA
|January 10, 1996
概括
社区获得性肺炎 (CAP) 的死亡率很高,特别是在重症监护室. 预后因素如男性性别,低温和神经疾病显著增加了CAP患者的死亡风险.
科学领域:
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
- 流行病学 流行病学
背景情况:
- 社区获得性肺炎 (CAP) 是全球疾病和死亡的一个重要原因.
- 了解CAP的预后和结果对于有效的患者管理至关重要.
研究的目的:
- 系统地审查现有的医学文献,以诊断社区获得性肺炎 (CAP) 的患者的预后和结果.
主要方法:
- 在一项全面的MEDLINE搜索中,发现了关于农业政策预后的英语研究.
- 分析了122篇文章,报告了127个涉及成人CAP患者的研究队列.
- 对与死亡率相关的预后因素进行了定性评估和元分析,使用几率比率 (ORs) 和率差 (RDs) 来进行.
主要成果:
- 在127个队伍中,CAP患者的总死亡率为13.7%,ICU患者的死亡率为36.5%.
- 11个预后因素,包括低温,低血压,瘤疾病和神经疾病,与增加的死亡率有显著关联.
- 根据肺炎病因,死亡率差异很大,从2%以下到30%以上.
结论:
- 住院的CAP患者面临高死亡率,受到队列特征,病因和特定预后因素的影响.
- 在门诊CAP患者中,关于非死亡结果的数据有限,因此在概括研究结果时需要谨慎.
相关概念视频
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