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Tuberc Respir Dis > Volume 58(6); 2005 > Article
Tuberculosis and Respiratory Diseases 2005;58(6):607-613.
DOI: https://doi.org/10.4046/trd.2005.58.6.607    Published online June 1, 2005.
Factors Associated with Early Death in Patients with Community-Acquired Pneumonia.
Hun Pyo Park, Yong Woo Seo, Jeong Eun Lee, Young Ho Kim, Young Yun Jang, Soon Hyo Park, Chang Kyun Seo, Young June Jeon, Mi Young Lee, Won Il Choi
1Department of Medicine, Keimyung University School of Medicine, Daegu, Korea. wichoi@dsmc.or.kr
2Department of Preventive Medicine, Keimyung University School of Medicine, Daegu, Korea.
Abstract
BACKGROUND
Early death is an important problem associated with the management of community-acquired pneumonia. However, there is little information on the risk factors associated with it. The aim of this study was to identify the factors associated with early death in community-acquired pneumonia patients. METHODS: From January 1999 to July 2004, 1,487 adult patients with community-acquired pneumonia who were admitted to the pulmonary department via emergency center were examined. Early death was defined as those who died within 2 days of hospitalization. The clinical and laboratory aspects of the patients who died early (n=30) were compared with those of an age and gender matched control population (n=60) . RESULTS: In the early death group, respiratory rate, heart rate, and blood urea nitrogen (BUN) were significant higher (p<0.05 for all), while the arterial pH, systolic pressure, and PaO2 were significant lower (p<0.05 for all) than the control. The independent factor significantly associated with early death was tachypnea (OR, 7.049). CONCLUSION: The importance of an early clinical assessment in emergency center with community-acquired pneumonia needs to be emphasized in order to recognize patients at risk of early death.
Key Words: Community-acquired pneumonia, Clinical manifestation, Tachypnea


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