Neumonía grave del adulto adquirida en la comunidad manejada en sala de cuidados generales en un hospital público

Abstract

Introduction: Severe community-acquired pneumonia (severe CAP) is characterized by intensive care unit (ICU) requirement, given its higher mortality and complications rate. Different prediction scales have been designed to assess severity. Objective: Identify adult patients with severe CAP managed in the general ward of a public hospital. Patients and Methods: Retrospective descriptive study, including all adult patients dischargedfrom hospital with CAP diagnosis, from January 1st to December 31st, 2010, with a total of 131 medical records reviewed. The American Thoracic Society criteria (ATS) of severe CAP and CURB-65 scores from 89 medical records were calculated. Results: 16 patients (18%) had CURB-65 score ≥ 3, 8 patients (9%) had ≥ 3 minor ATS criteria, and 2 of those patients had a major criterion. Conclusion: A significant number of patients with severe CAP were managed on the general ward of a public hospital.