Se analizaron registros de internación de 117 pacientes, de los cuales se encontró información sobre la causa en 90 (76.92%) casos.
Datos generales
| edad |
69.17±10.98 |
| IMC |
24.34 (20.46-28.68) |
| SexoFemenino |
50 (55.56%) |
| cobertura Obra social |
46 (54.12%) |
| cobertura Privada |
20 (23.53%) |
| cobertura Pública |
19 (22.35%) |
| PY |
50 (37-75) |
| Tabaquismo Actual |
25 (27.78%) |
| Tabaquismo Anterior |
64 (71.11%) |
| Tabaquismo Nunca |
1 (1.11%) |
Datos EPOC basales
| EPOCduracion |
7 (3-12.25) |
| consultasUltimoaño |
1 (0-3) |
| INTERNACIONesUltimoaño |
0 (0-1) |
| mMRC |
3 (2-3) |
| CAThabitual |
19.59±7.57 |
| Eosingreso |
11 (0.02-60) |
| antigripal |
56 (64.37%) |
| antineumococcica |
47 (54.02%) |
| GOLDclase A |
0 (0%) |
| GOLDclase B |
43 (49.43%) |
| GOLDclase C |
3 (3.45%) |
| GOLDclase D |
41 (47.13%) |
| BodEx |
5.14±1.88 |
Internación
| UCI |
31 (34.44%) |
| O2 |
78 (87.64%) |
| CNAF |
4 (4.49%) |
| VNI__2 |
40 (44.94%) |
| VMI |
6 (6.67%) |
| CTD |
50 (56.18%) |
| LET |
1 (1.12%) |
| estadia |
7 (5-12) |
| vivo |
87 (97.75%) |
Muestras microbiológicas tomadas según el centro
|
(n=36) |
(n=54) |
(n=90) |
|
| Bacterias |
17 (47.22%) |
38 (70.37%) |
55 (61.11%) |
0.046 |
| Virus |
21 (60%) |
10 (18.52%) |
31 (34.83%) |
<0.001 |
| Ambas |
13 (37.14%) |
9 (16.67%) |
22 (24.72%) |
0.043 |
Cultivos bacterianos
| cultivoNegativo |
25 (27.78%) |
| Haemophillus influenzae |
10 (11.11%) |
| Streptococcus pneumoniae |
7 (7.78%) |
| Moraxella catharralis |
4 (4.44%) |
| Pseudomonas aeruginosa |
9 (10%) |
Virus respiratorios
| virusNegativo |
18 (20.22%) |
| Influenza A |
2 (2.25%) |
| Influenza B |
1 (1.12%) |
| Parainfluenza |
1 (1.12%) |
| Virus sincicial respiratorio |
3 (3.37%) |
| Metapneumovirus |
1 (1.12%) |
| Adenovirus |
0 (0%) |
| Rhinovirus |
4 (4.49%) |
Causa de la exacerbacion
| causa No establecida |
40 (44.44%) |
| causaBacteriana |
30 (33.33%) |
| causaViral |
7 (7.78%) |
| causaPolución |
1 (1.11%) |
| causaAlérgica |
0 (0%) |
| causaInterrupción de tratamiento |
0 (0%) |
| Otra causa |
11 (30.56%) |
Tratamientos antimicrobianos
| Antibiótico |
78 (87.64%) |
| Antiviral |
27 (30.34%) |
Prescripción de antibióticos y toma de muestras
|
(n=11) |
(n=78) |
|
| Bacterias |
5 (45.45%) |
49 (62.82%) |
0.33 |
| Virus |
1 (9.09%) |
30 (38.46%) |
0.089 |
Prescripción de antivirales y toma de muestras
|
(n=62) |
(n=27) |
|
| Bacterias |
36 (58.06%) |
18 (66.67%) |
0.488 |
| Virus |
9 (14.52%) |
22 (81.48%) |
<0.001 |
Prescripción de antibióticos y resultados de cultivos bacterianos
|
(n=11) |
(n=78) |
|
| cultivoNegativo |
1 (9.09%) |
24 (30.77%) |
0.171 |
| Haemophillus influenzae |
1 (9.09%) |
9 (11.54%) |
1 |
| Streptococcus pneumoniae |
0 (0%) |
7 (8.97%) |
0.59 |
| Moraxella catharralis |
1 (9.09%) |
3 (3.85%) |
0.416 |
| Pseudomonas aeruginosa |
1 (9.09%) |
8 (10.26%) |
1 |
Prescripción de antivirales y resultados de muestra de virus
|
(n=62) |
(n=27) |
|
| virusNegativo |
5 (8.06%) |
13 (48.15%) |
<0.001 |
| Influenza A |
0 (0%) |
2 (7.41%) |
0.09 |
| Influenza B |
1 (1.61%) |
0 (0%) |
1 |
| Virus sincicial respiratorio |
1 (1.61%) |
2 (7.41%) |
0.217 |