• The Journal of infection · Jun 2014

    Observational Study

    Incidence, timing and risk factors associated with 1-year mortality after hospitalization for community-acquired pneumonia.

    • Jordi Adamuz, Diego Viasus, Emilio Jiménez-Martínez, Pilar Isla, Carolina Garcia-Vidal, Jordi Dorca, and Jordi Carratalà.
    • Department of Nursing, Hospital Universitari de Bellvitge, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Barcelona, Spain; Department of Infectious Diseases, Hospital Universitari de Bellvitge, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Barcelona, Spain; School of Health Science, Blanquerna-Ramon Llull University, Barcelona, Spain. Electronic address: jordi.adamuz@gmail.com.
    • J. Infect. 2014 Jun 1;68(6):534-41.

    ObjectiveTo identify the incidence, causes, timing and risk factors associated with 1-year mortality in CAP patients after hospital discharge.MethodsAdult patients with CAP who were admitted to a tertiary hospital from 2007 to 2011 were prospectively recruited and followed up for 1 year after hospital discharge.ResultsOf the 1284 patients discharged, 93 (7.2%) died within 1-year of leaving hospital. Sixty eight (73.1%) patients died in the first six months. The main reasons for 1-year mortality after hospital discharge were infectious diseases, mainly pneumonia, followed by acute cardiovascular events. Mortality from infectious diseases was higher during the first 6 months (86.1%), while the number of deaths from cardiovascular causes was stable throughout the months of follow-up. After adjustment for confounders, chronic obstructive pulmonary disease, diabetes mellitus, cancer, dementia, rehospitalization within 30 days of hospital discharge and nursing home were independently associated with 1-year mortality. The incidence of long-term mortality increased >50% when ≥4 risk factors were present (P < .001).ConclusionsPatients mainly died from infectious diseases and acute cardiovascular events in the first six months after leaving hospital for an acute CAP episode. Certain features may help to identify the risk of long-term mortality in CAP patients.Copyright © 2014 The British Infection Association. Published by Elsevier Ltd. All rights reserved.

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