Índice de gravedad en neumonía comunitaria hospitalizada
Severit predictiion index in hospitalized communitary acquired pneumonia
Rev. chil. enferm. respir; 19 (3), 2003
Publication year: 2003
Fine's severity prediction index (SPI), was retrospectively analyzed in community acquired pneumonia (CAP), in patients at Concepción Regional Hospital, from June to August 2000.
We studied 57 CAP patients:
23 as low risk and 34 as high risk patients.In comparison to low risk patients the main features of high risk patients were:
older age (p < 0.00001), higher comorbility (p < 0.004), longer hospitalization (p < 0.0007) and higher mortality (p < 0.018). Mortality in low risk patients was similar to Fine's study: 4.3 versus 3.5%. In high risk patients mortality was 26% versus 38%. Main complications in our series were mechanical ventilation (43.8%), PaO2/FiO2 < 250 mmHg (43.8%), and hepatic coma (38.5%). As a conclusion, we recommend the use of SPI in CAP at Emergency Services in order to better evaluate mortality, optimizing criteria of hospital admission.
Se evaluó el Índice de Gravedad de Fine (IG) en neumonías de la comunidad (NAC) hospitalizadas en el Hospital Regional de Concepción en trabajo retrospectivo con 57 casos entre Junio y Agosto del año 2000. Se estudiaron 23 pacientes catalogados de bajo riesgo y 34 de alto riesgo. Características de alto riesgo fueron, mayor edad (p < 0,00001), mayor comorbilidad (p < 0,0004), estadía prolongada (p < 0,00007) y mayor mortalidad (p < 0,018). La mortalidad de bajo riesgo fue similar a la de Fine, 4,3% versus 3,5%, siendo menor en el grupo de alto riesgo, 26% versus 38%. Factores de mayor complicación en NAC fueron, ventilación mecánica (43,8%), PaO2/FiO2 < 250 mmHg (43,8%) y coma hepático (35,8%).