RT Journal Article
T1 Hospitalizations for Community-Acquired and Non-Ventilator-Associated Hospital-Acquired Pneumonia in Spain: Influence of the Presence of Bronchiectasis. A Retrospective Database Study
A1 Sánchez Muñoz, Gema
A1 López De Andrés, Ana Isabel
A1 Hernández Barrera, Valentín
A1 Pedraza Serrano, Fernando
A1 Jiménez García, Rodrigo
A1 López Herranz, Marta
A1 Puente Maestu, Luis
A1 Miguel Díez, Javier De
AB To examine and compare in-hospital mortality (IHM) of community-acquired pneumonia (CAP) and non-ventilator hospital-acquired pneumonia (NV-HAP) among patients with or without bronchiectasis (BQ) using propensity score matching. A retrospective observational epidemiological study using the Spanish Hospital Discharge Records, 2016–17. We identified 257,455 admissions with CAP (3.97% with BQ) and 17,069 with NV-HAP (2.07% with BQ). Patients with CAP and BQ had less comorbidity, lower IHM, and a longer mean length of hospital stay (p < 0.001) than non-BQ patients. They had a higher number of isolated microorganisms, including Pseudomonas aeruginosa. In patients with BQ and NV-HAP, no differences were observed with respect to comorbidity, in-hospital mortality (IHM), or mean length of stay. P. aeruginosa was more frequent (p = 0.028). IHM for CAP and NV-HAP with BQ was 7.89% and 20.06%, respectively. The factors associated with IHM in CAP with BQ were age, comorbidity, pressure ulcers, surgery, dialysis, and invasive ventilation, whereas in NV-HAP with BQ, the determinants were age, metastatic cancer, need for dialysis, and invasive ventilation. Patients with CAP and BQ have less comorbidity, lower IHM and a longer mean length of hospital stay than non-BQ patients. However, they had a higher number of isolated microorganisms, including Pseudomonas aeruginosa. In patients with BQ and NV-HAP, no differences were observed with respect to comorbidity, in-hospital mortality, or mean length of stay, but they had a greater frequency of infection by P. aeruginosa than non-BQ patients. Predictors of IHM for both types of pneumonia among BQ patients included dialysis and invasive ventilation.
PB MDPI
SN 2077-0383
YR 2020
FD 2020-07-22
LK https://hdl.handle.net/20.500.14352/8346
UL https://hdl.handle.net/20.500.14352/8346
LA eng
NO Sanchez Muñoz, G., López De Andrés, A. I., Hernández Barrera, V. et al. «Hospitalizations for Community-Acquired and Non-Ventilator-Associated Hospital-Acquired Pneumonia in Spain: Influence of the Presence of Bronchiectasis. A Retrospective Database Study». Journal of Clinical Medicine, vol. 9, n.o 8, julio de 2020, p. 2339. DOI.org (Crossref), https://doi.org/10.3390/jcm9082339.
DS Docta Complutense
RD 7 abr 2025