Study of Lab Parameters Predicting Post-discharge Mortality after Admission for Community-acquired Pneumonia: A Prospective Tertiary Hospital Care Based Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 4
Abstract
Introduction: There are considerable morbidity and mortality following discharge of patients admitted as community-acquired pneumonia (CAP). There is very scarce data about follow-up of these patients after they are discharged from the hospital. Aims and Objectives: To study the lab parameters predicting post-discharge mortality following admission for CAP on follow-up. Materials and Methods: A prospective cohort of patients presenting as CAP admitted in our institute (Sher-i-Kashmir Institute of Medical Sciences) was recruited from October 2008 to April 2010. Results: Our study comprised 153 patients of CAP with median follow-up of 397 days. Mean age of patients was 61.31 ± 16.49 years. 99 (62.8%) were male and 54 patients were females. From total of 153 patients 34 (22.22%) patients died at median follow-up of 397 days. Hypoalbuminemia (P = 0.03), increased blood urea nitrogen (BUN) (P = 0.00), serum creatinine >1.5 mg/dl, hyperglycemia (>250 mg/dl) (P = 0.02), pH <7.35 (P = 0.01), bilateral involvement on chest X-ray (P = 0.01), and higher pneumonia severity index (PSI) class (P = 0.0001) were found to be significantly associated with mortality on follow-up. We could not ascertain any relation between particular microbial etiology and mortality on follow-up. Conclusion: There is considerable mortality following discharge of patients admitted with CAP. Hypoalbuminemia, increased BUN, creatinine, blood sugar, low pH and higher PSI class can be used as factors in predicting which patients will have a poor outcome after discharge from the hospital.
Authors and Affiliations
Fayaz Ahmad Sofi, Aamir Rashid, Jan Mohammad, Ghulam Nabi Dhobi
Keywords
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