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Revista Virtual de la Sociedad Paraguaya de Medicina Interna
versão On-line ISSN 2312-3893
Resumo
CARDOZO JIMENEZ, Deisy Gabriela. Relation between diabetes mellitus and mortality of community acquired pneumonia. Rev. Virtual Soc. Parag. Med. Int. [online]. 2015, vol.2, n.2, pp.23-32. ISSN 2312-3893. https://doi.org/10.18004/rvspmi/2312-3893/2015.02(02)23-032.
Introduction: Community acquired pneumonia (CAP) is associated with considerable morbidity and mortality. The pulmonary infection does by itself but also by its association with diabetes mellitus (DM), which plays an important role in those results. Objectives: To determine the influence of DM in the outcome of CAP. Materials and method: Retrospective cohort study. Cohort 1: men and women older than 16 years old with DM and CAP admitted into the National Hospital in 2013 and 2014. Cohort 2: men and women older than 16 years old and carriers of CAP, without DM, admitted into the National Hospital in the same period. Results: Thirty two subjects were included in cohort 1 and 104 in cohort 2. Eleven patients died, 3 (9%) of them from cohort 1 and 8 (7%) from cohort 2 (RR 0.97, CI 95%, 0.8-1.1, p = 0.6). There was longer hospital stay in patients with higher glycemia at admittance. There was a mean Curb65 of 1.1± 0.9 in live discharges and 2.2± 0.7 in patients who died (p= 0.0004). Conclusion: DM was not significantly associated with either higher mortality or longer hospital stay in CAP patients.
Palavras-chave : diabetes mellitus; community acute pneumonia; mortality.