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Year : 2009  |  Volume : 12  |  Issue : 3  |  Page : 298-301

Mortality predictors in community-acquired pneumonia

Department of Medicine, Ladoke Akintola University of Technology College of Medicine, Osogbo, Osun State, Nigeria

Correspondence Address:
M O Tanimowo
Department of Medicine, Ladoke Akintola University of Technology College of Medicine, Osogbo, Osun State, Nigeria

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Source of Support: None, Conflict of Interest: None

PMID: 19803030

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OBJECTIVE: To determine mortality predictors among patients admitted for community-acquired pneumonia to the medical wards of Ladoke Akintola University of Teaching Hospital between Jan. 2003 and Dec. 2005. METHODS: The case notes of 65 patients admitted for community-acquired pneumonia were studied with respect to their admission Pneumonia Severity Index (PSI) (Score) and functional class. The duration of admission, side of lung affected on chest X-ray, co-morbid illness and outcome were also noted. RESULTS: The mean Pneumonia Severity Index score for patients who were discharged and those who died was 65.48 +/- 32.6 and 95.47 +/- 32.9 respectively (P<0.05). Bedridden patients have higher mortality than patients who walked without problems on admission (P<0.05). The mean duration of admission of discharged patients was 9.5 +/- 8.9 days while that of patients who died was 4.82 +/- 2.7 days (P<0.05). The side of lung involvement of chest X-ray does not seem to affect mortality (P>0.05). Sixteen co-morbid illnesses were identified. CONCLUSION: The Pneumonia Severity Index score remains an important mortality predictor in patients with community-acquired pneumonia, but there is need to widen its scope to include functional class, duration of admission, and locally important co-morbid illnesses.

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