Adherencia a las guías de prácticas clínicas sobre neumonía adquirida en la comunidad y su relación con la mortalidad

MEDISUR

Gustavo Álvarez Amador¹  Miguel Mosquera Fernández¹  Iris González Morales²  José Luis Bernal Muñoz²  María Caridad Fragoso Marchante²  Alfredo Darío Espinosa Brito³ 

[1] Hospital Alipio León. Municipio Aguada.;Hospital General Universitario ¨ Dr. Gustavo Aldereguía Lima¨. Cienfuegos;Hospital General Universitario ¨ Dr. Gustavo Aldereguía Lima¨. Cienfuegos.

关键词: guía de práctica clínica;    neumonía;    mortalidad;    infecciones comunitarias adquiridas;   

DOI  :  

学科分类：医学（综合）

来源: Centro Provincial de Informacion de Ciencias Medicas de Cinfuegos

【 摘 要 】

Background : Community acquired pneumonia is a common disease that is associated with significant morbidity and mortality rates. In the General University Hospital ´´Dr. Gustavo AldereguíaLima¨ in Cienfuegos, there are guidelines for the management of patients with community-acquired pneumonia, but no studies have been conducted as to the relation between their compliance and the mortality rate. Objective : To assess the adherence to guidelines for diagnosis and treatment of community-acquired pneumonia and its relation to mortality in hospitalized patients. Methods : A descriptive, observational and prospective case series study was conducted in all patients with a diagnosis of pneumonia or bronchopneumonia at the moment of admission and discharge from June 2006 to May 31, 2007. The relation between the different variables and the mortality rate was analyzed as to the different types of risks and the overall compliance with the guidelines for each risk with mortality. A multivariate analysis (logistic regression) was performed, with a 95% confidence interval. Results : The results are presented in tables of numbers and percent. Variables independently associated with mortality were: age (over 65 years old people), radiological lesions in more than one lobe or bilateral, atypical pneumonia debut,negative assessments as to the adherence to guidelines and inadequate treatments. Conclusion : The variables included in the study were enough to explain the final outcome of the patients, so it could be determined, for the first time in Cienfuegos, that the non-compliance with the guidelines of good clinical practice is related to mortality rates.

【 授权许可】

CC BY