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[PMID]: | 28455128 |
[Au] Autor: | Corrado RE; Lee D; Lucero DE; Varma JK; Vora NM |
[Ad] Endereço: | Division of Disease Control, New York City Department of Health and Mental Hygiene, Queens, NY. |
[Ti] Título: | Burden of Adult Community-acquired, Health-care-Associated, Hospital-Acquired, and Ventilator-Associated Pneumonia: New York City, 2010 to 2014. |
[So] Source: | Chest;152(5):930-942, 2017 11. | [Is] ISSN: | 1931-3543 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | BACKGROUND: Although pneumonia is a leading cause of death in New York City (NYC), limited data exist about the settings in which pneumonia is acquired across NYC. Cases of pneumonia acquired in community settings are more likely to be preventable with vaccines and treatable with first-line antibiotics than those acquired in noncommunity settings. The objective of this study was to estimate the burden of hospitalizations associated with community-acquired (CAP), health-care-associated (HCAP), hospital-acquired (HAP), and ventilator-associated (VAP) pneumonia from 2010 to 2014. METHODS: This retrospective analysis was performed by using an all-payer reporting system of hospital discharges that included NYC residents aged ≥ 18 years. Pneumonia-associated hospitalizations were defined as any hospitalization that included a diagnostic code for pneumonia among any of the discharge diagnoses. Using published clinical guidelines, we classified hospitalizations into mutually exclusive categories of CAP, HCAP, HAP, and VAP and defined pneumonia acquired in the community setting as the combination of CAP and HCAP. RESULTS: Of 4,614,108 hospitalizations during the reporting period, 283,927 (6.2%) involved pneumonia. Among pneumonia-associated hospitalizations, 154,158 (54.3%) were CAP, 85,656 (30.2%) were HCAP, 39,712 (14.0%) were HAP, and 4,401 (1.6%) were VAP. Death during hospitalization occurred in 7.9% of CAP-associated hospitalizations, compared with 15.6% of HCAP-associated hospitalizations, 20.7% of HAP-associated hospitalizations, and 21.6% of VAP-associated hospitalizations. CONCLUSIONS: Most pneumonia-associated hospitalizations in NYC involve pneumonias acquired in the community setting. Although 15.6% of pneumonia-associated hospitalizations were categorized as HAP or VAP, these pneumonias accounted for > 25% of deaths from pneumonia-associated hospitalizations. Public health pneumonia prevention efforts need to target both community and hospital settings. |
[Mh] Termos MeSH primário: |
Infecções Comunitárias Adquiridas/epidemiologia Infecção Hospitalar/epidemiologia Hospitalização/tendências Pneumonia Associada à Ventilação Mecânica/epidemiologia População Urbana
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[Mh] Termos MeSH secundário: |
Adolescente Adulto Idoso Idoso de 80 Anos ou mais Infecção Hospitalar/terapia Feminino Seres Humanos Incidência Masculino Meia-Idade Cidade de Nova Iorque/epidemiologia Pneumonia Associada à Ventilação Mecânica/terapia Prognóstico Estudos Retrospectivos Fatores de Risco Taxa de Sobrevida/tendências Adulto Jovem
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[Pt] Tipo de publicação: | JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, U.S. GOV'T, P.H.S. |
[Em] Mês de entrada: | 1711 |
[Cu] Atualização por classe: | 180305 |
[Lr] Data última revisão:
| 180305 |
[Sb] Subgrupo de revista: | AIM; IM |
[Da] Data de entrada para processamento: | 170430 |
[St] Status: | MEDLINE |
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