The Presence of COPD does not Influence Clinical Outcomes in Hospitalized Patients with Community-acquired Pneumonia

Authors

Rosemeri Maurici, Postgraduate Program in Medical Sciences / Universidade Federal de Santa Catarina, Florianopolis, SC, BrazilFollow
Alessandra Morello Gearhart, Division of Pulmonary, Critical Care and Sleep Medicine / University of Louisville, Louisville, KY, USAFollow
Vanessa Viríssimo Maciel, Postgraduate Program in Medical Sciences / Universidade Federal de Santa Catarina, Florianopolis, SC, BrazilFollow
Forest Arnold, Division of Infectious Diseases / University of Louisville, Louisville, KY, USAFollow
Francisco Fernandez, Division of Infectious Diseases / University of Louisville, Louisville, KY, USAFollow
Annuradha K. Persaud, Division of Infectious Diseases / University of Louisville, Louisville, KY, USAFollow
Stephen Furmanek, Division of Infectious Diseases / University of Louisville, Louisville, KY, USAFollow
Timothy Wiemken, Division of Infectious Diseases / University of Louisville, Louisville, KY, USAFollow
Julio Ramirez, Division of Infectious Diseases / University of Louisville, Louisville, KY, USAFollow
Rodrigo Cavallazzi, Division of Pulmonary, Critical Care and Sleep Medicine / University of Louisville, Louisville, KY, USAFollow

Funder

The author(s) received no specific funding for this work.

Abstract

Introduction

Community-acquired pneumonia (CAP) is a leading cause of death worldwide. Chronic obstructive pulmonary disease (COPD) is a well-established risk factor for development of CAP. What is not as clear is the impact of COPD in the outcomes of patients with CAP. In this study, we compared the outcomes of CAP in COPD and non-COPD patients.

Methods

This was a retrospective cohort study. We conducted a secondary analysis of the Community-Acquired Pneumonia Organization (CAPO) international cohort study database, which includes patients with CAP admitted to several hospitals throughout the world. Outcomes were time to clinical stability, length of hospital stay, and in-hospital mortality.

Results

This study included 7,325 patients. Of these, 1,869 (25.5%) had COPD. Patients with COPD had higher severity of illness (pneumonia severity index class V: 15% vs 9%; P

Conclusion

Our study results show that COPD should not be considered a risk factor for poor outcomes in hospitalized patients with CAP.

DOI

10.18297/jri/vol1/iss3/8/

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 License.

Recommended Citation

Maurici, Rosemeri; Morello Gearhart, Alessandra; Viríssimo Maciel, Vanessa; Arnold, Forest; Fernandez, Francisco; Persaud, Annuradha K.; Furmanek, Stephen; Wiemken, Timothy; Ramirez, Julio; and Cavallazzi, Rodrigo (2017) "The Presence of COPD does not Influence Clinical Outcomes in Hospitalized Patients with Community-acquired Pneumonia," The University of Louisville Journal of Respiratory Infections: Vol. 1 : Iss. 3 , Article 8.
DOI: https://doi.org/10.18297/jri/vol1/iss3/8/
Available at: https://ir.library.louisville.edu/jri/vol1/iss3/8