Background Pneumonia is the most common cause of death among patients with infectious disease in Korea. However, studies of pneumonia with septic shock in patients presenting to the emergency department are limited. The aim of this study was to investigate the prognostic factors associated with pneumonia with septic shock in patients presenting to the emergency department.
Methods From January 2008 to September 2014, patients with pneumonia with septic shock admitted through the emergency department were retrospectively examined.
Results Of the 561,845 patients who visited the emergency department, 398 were admitted for pneumonia with septic shock. The 28-day mortality rate in these patients was 36.4%. The independent prognostic factors were old age (>70 yrs) (odds ratio [OR], 2.42; 95%, confidence interval [CI], 1.35–4.32), Acute Physiology and Chronic Health Evaluation (APACHE) II score (OR, 1.04; 95% CI, 1.01–1.08), leukopenia (OR, 3.63; 95% CI, 1.48–8.94), prolonged PT-INR (OR, 2.53; 95% CI, 1.41–4.54), and hypoxemia (OR, 2.88; 95% CI, 1.30–6.38).
Conclusions A poor prognosis of patients with pneumonia is associated with old age (>70 yrs), increased APACHE II score, leukopenia, prolonged PT-INR, and hypoxemia.
The Myth of Septic Complications of Acute Pneumonia Igor Klepikov Journal of Biomedical Research & Environmental Sciences.2021; 2(8): 741. CrossRef
Will the pill help defeat the coronavirus? Klepikov Igor Journal of Clinical Intensive Care and Medicine.2021; 6(1): 001. CrossRef
Psychoanalysis of the doctrine of acute pneumonia Klepikov Igor International Journal of Clinical Microbiology and Biochemical Technology.2021; 4(1): 032. CrossRef
COVID-19 Pandemic: The Causative Agent is New, The Problem is Old Igor Klepikov, Sasho Stoleski International Journal of Coronaviruses.2021; 3(1): 14. CrossRef
Let’s evaluate the pandemic in terms of facts, not impressions Igor Klepikov Journal of Lung, Pulmonary & Respiratory Research.2021; 8(2): 62. CrossRef
Non-bacteremic pneumococcal pneumonia: general characteristics and early predictive factors for poor outcome Leyre Serrano, Luis A. Ruiz, Lorea Martinez-Indart, Pedro P. España, Ainhoa Gómez, Ane Uranga, Marta García, Borja Santos, Amaia Artaraz, Rafael Zalacain Infectious Diseases.2020; 52(9): 603. CrossRef
Acute Lung Inflammation: Old Illusions of the New Version Igor Klepikov International Journal of Research Studies in Medical and Health Sciences.2020; 5(7): 1. CrossRef
As Evidenced by the Statistics of the Pandemic I. Klepikov, Jose Luis Turabian International Journal of Coronaviruses.2020; 2(2): 1. CrossRef
Do you really want to improve the results of treatment for acute pneumonia? Igor* Klepikov Journal of Clinical Intensive Care and Medicine.2019; : 023. CrossRef