Yıl: 2016 Cilt: 46 Sayı: 5 Sayfa Aralığı: 1469 - 1474 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Factors affecting treatment success in community-acquired pneumonia

Öz:
Background/aim: Treatment failure in hospitalized patients with community-acquired pneumonia is a major cause of mortality. The aim of this study was to evaluate the factors affecting treatment success in community-acquired pneumonia. Materials and methods: A total of 537 patients (mean age: 66.1 ± 15.8 years, 365 males) registered to the Turkish Thoracic Society Pneumonia Database were analyzed. Of these, clinical improvement or cure, defined as treatment success, was achieved in 477, whereas 60 patients had treatment failure and/or died. Results: Lower numbers of neutrophils (5989.9 ± 6237.3 vs. 8495.6 ± 7279.5/mm3 ), higher blood urea levels (66.1 ± 42.1 vs. 51.2 ± 38.2 mg/dL), higher Pneumonia Severity Index (PSI) scores (123.3 ± 42.6 vs. 96.3 ± 32.9), higher CURB-65 scores (2.7 ± 1.2 vs. 2.2 ± 0.9), lower PaO2 /FiO2ratios (216.3 ± 86.8 vs. 269.9 ± 65.6), and the presence of multilobar (33.3% vs. 16.4%) and bilateral (41.7% vs. 18.9%) radiologic infiltrates were related to treatment failure. The PSI score and PaO2 /FiO2ratio were independent parameters affecting treatment results in multivariate linear regression analysis (P < 0.001). Conclusion: The risk of treatment failure is high in patients with severe pneumonia and with respiratory failure. Effective treatment and close monitoring are required for these cases.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Gunduz Gurkan C, TAŞBAKAN M, Sayiner A, Cilli A, KILINC O, ŞAKAR COŞKUN A (2016). Factors affecting treatment success in community-acquired pneumonia. , 1469 - 1474.
Chicago Gunduz Gurkan Canan,TAŞBAKAN Mehmet Sezai,Sayiner Abdullah,Cilli Aykut,KILINC OGUZ,ŞAKAR COŞKUN Ayşın Factors affecting treatment success in community-acquired pneumonia. (2016): 1469 - 1474.
MLA Gunduz Gurkan Canan,TAŞBAKAN Mehmet Sezai,Sayiner Abdullah,Cilli Aykut,KILINC OGUZ,ŞAKAR COŞKUN Ayşın Factors affecting treatment success in community-acquired pneumonia. , 2016, ss.1469 - 1474.
AMA Gunduz Gurkan C,TAŞBAKAN M,Sayiner A,Cilli A,KILINC O,ŞAKAR COŞKUN A Factors affecting treatment success in community-acquired pneumonia. . 2016; 1469 - 1474.
Vancouver Gunduz Gurkan C,TAŞBAKAN M,Sayiner A,Cilli A,KILINC O,ŞAKAR COŞKUN A Factors affecting treatment success in community-acquired pneumonia. . 2016; 1469 - 1474.
IEEE Gunduz Gurkan C,TAŞBAKAN M,Sayiner A,Cilli A,KILINC O,ŞAKAR COŞKUN A "Factors affecting treatment success in community-acquired pneumonia." , ss.1469 - 1474, 2016.
ISNAD Gunduz Gurkan, Canan vd. "Factors affecting treatment success in community-acquired pneumonia". (2016), 1469-1474.
APA Gunduz Gurkan C, TAŞBAKAN M, Sayiner A, Cilli A, KILINC O, ŞAKAR COŞKUN A (2016). Factors affecting treatment success in community-acquired pneumonia. Turkish Journal of Medical Sciences, 46(5), 1469 - 1474.
Chicago Gunduz Gurkan Canan,TAŞBAKAN Mehmet Sezai,Sayiner Abdullah,Cilli Aykut,KILINC OGUZ,ŞAKAR COŞKUN Ayşın Factors affecting treatment success in community-acquired pneumonia. Turkish Journal of Medical Sciences 46, no.5 (2016): 1469 - 1474.
MLA Gunduz Gurkan Canan,TAŞBAKAN Mehmet Sezai,Sayiner Abdullah,Cilli Aykut,KILINC OGUZ,ŞAKAR COŞKUN Ayşın Factors affecting treatment success in community-acquired pneumonia. Turkish Journal of Medical Sciences, vol.46, no.5, 2016, ss.1469 - 1474.
AMA Gunduz Gurkan C,TAŞBAKAN M,Sayiner A,Cilli A,KILINC O,ŞAKAR COŞKUN A Factors affecting treatment success in community-acquired pneumonia. Turkish Journal of Medical Sciences. 2016; 46(5): 1469 - 1474.
Vancouver Gunduz Gurkan C,TAŞBAKAN M,Sayiner A,Cilli A,KILINC O,ŞAKAR COŞKUN A Factors affecting treatment success in community-acquired pneumonia. Turkish Journal of Medical Sciences. 2016; 46(5): 1469 - 1474.
IEEE Gunduz Gurkan C,TAŞBAKAN M,Sayiner A,Cilli A,KILINC O,ŞAKAR COŞKUN A "Factors affecting treatment success in community-acquired pneumonia." Turkish Journal of Medical Sciences, 46, ss.1469 - 1474, 2016.
ISNAD Gunduz Gurkan, Canan vd. "Factors affecting treatment success in community-acquired pneumonia". Turkish Journal of Medical Sciences 46/5 (2016), 1469-1474.