Vascular complications are associated with poor outcome in community-acquired pneumonia.
血管合併症は市中肺炎の予後不良と関係がある
QJM. 2011 Jun;104(6):489-95.
Abstract 抄録
RESULTS:結果
From a total of 4408 patients, 2.2% developed stroke, 5% acute coronary syndrome or myocardial infarction and 9.3% new onset atrial fibrillation.
総数4408人の患者のうち、2.2%が脳卒中、
5%が不安定狭心症または心筋梗塞、を発症し
9.3%が新規の心房細動を発症する
These were associated with increased 90-day mortality [odds ratio (OR), 1.49 95% CI 1.18-1.87, P=0.0006].
90日間死亡率の増加と関係があった [オッズ比 (OR), 1.49 95% CI 1.18-1.87, P=0.0006].
Vascular events were independently associated with increased length of hospital stay-median 12 days (IQR 5-22), compared to patients with no vascular events 8 days (IQR 3-17 days, P<0.0001).
血管イベントのない患者の入院期間中央値8日間と比較して
(IQR 3-17 日間, P<0.0001)
血管イベントのある患者は、独立して、入院期間中央値12日間(IQR5-22)の増加と関係があった
CONCLUSION: 結論
Cardiovascular and cerebrovascular events are common during hospitalization for CAP and are associated with increased 90-day mortality.
心血管と脳血管イベントはCAPでの入院中によくみられ、90日間死亡率の増加と関係があった
BACKGROUND: 背景
Recognition of cardiovascular risk factors is important for primary and secondary prevention strategies.
心血管リスク因子の認識は一次と二次予防戦略に重要だ
Recent evidence has linked lower respiratory tract infections with the development of acute myocardial infarction.
最近のエビデンスは下気道感染症を急性心筋梗塞の発症と関連づける
AIM: 目的
The aim of this study was to determine the frequency of cardiovascular and cerebrovascular events and the clinical outcomes, during hospitalization for community-acquired pneumonia (CAP).
本研究の目的は、市中感染肺炎(CAP)で入院中の、
心血管と脳血管イベントの頻度と臨床的転帰を決めることだ
DESIGN: 研究デザイン
We performed a retrospective study of 4408 patients with CAP presenting to five hospitals over a 2-year period.
2年間にわたり5つの病院に在籍する4408人のCAP患者の後ろ向き研究を実施した
Clinical information, co-morbidities, cardiovascular events and 90-day mortality were collected from review of medical case notes.
臨床情報、並存疾患、心血管イベント、90日間死亡率は
診療記録の再審査から集めた
The relationship between cardiovascular events and outcomes were analysed using
multivariable logistic regression.
心血管イベントと転帰の間の関係は、多変量ロジスティック回帰分析で解析した
血管合併症は市中肺炎の予後不良と関係がある
QJM. 2011 Jun;104(6):489-95.
Abstract 抄録
RESULTS:結果
From a total of 4408 patients, 2.2% developed stroke, 5% acute coronary syndrome or myocardial infarction and 9.3% new onset atrial fibrillation.
総数4408人の患者のうち、2.2%が脳卒中、
5%が不安定狭心症または心筋梗塞、を発症し
9.3%が新規の心房細動を発症する
These were associated with increased 90-day mortality [odds ratio (OR), 1.49 95% CI 1.18-1.87, P=0.0006].
90日間死亡率の増加と関係があった [オッズ比 (OR), 1.49 95% CI 1.18-1.87, P=0.0006].
Vascular events were independently associated with increased length of hospital stay-median 12 days (IQR 5-22), compared to patients with no vascular events 8 days (IQR 3-17 days, P<0.0001).
血管イベントのない患者の入院期間中央値8日間と比較して
(IQR 3-17 日間, P<0.0001)
血管イベントのある患者は、独立して、入院期間中央値12日間(IQR5-22)の増加と関係があった
CONCLUSION: 結論
Cardiovascular and cerebrovascular events are common during hospitalization for CAP and are associated with increased 90-day mortality.
心血管と脳血管イベントはCAPでの入院中によくみられ、90日間死亡率の増加と関係があった
BACKGROUND: 背景
Recognition of cardiovascular risk factors is important for primary and secondary prevention strategies.
心血管リスク因子の認識は一次と二次予防戦略に重要だ
Recent evidence has linked lower respiratory tract infections with the development of acute myocardial infarction.
最近のエビデンスは下気道感染症を急性心筋梗塞の発症と関連づける
AIM: 目的
The aim of this study was to determine the frequency of cardiovascular and cerebrovascular events and the clinical outcomes, during hospitalization for community-acquired pneumonia (CAP).
本研究の目的は、市中感染肺炎(CAP)で入院中の、
心血管と脳血管イベントの頻度と臨床的転帰を決めることだ
DESIGN: 研究デザイン
We performed a retrospective study of 4408 patients with CAP presenting to five hospitals over a 2-year period.
2年間にわたり5つの病院に在籍する4408人のCAP患者の後ろ向き研究を実施した
Clinical information, co-morbidities, cardiovascular events and 90-day mortality were collected from review of medical case notes.
臨床情報、並存疾患、心血管イベント、90日間死亡率は
診療記録の再審査から集めた
The relationship between cardiovascular events and outcomes were analysed using
multivariable logistic regression.
心血管イベントと転帰の間の関係は、多変量ロジスティック回帰分析で解析した