Η πνευμονία της κοινότητας σε γενικό επαρχιακό νοσοκομείο

Καρέλη, Ευθαλία

Managing community - Acquired pneumonia in a county General Hospital

Master Thesis

Author

Καρέλη, Ευθαλία

Date

2009

Abstract

Community-Acquired Pneumonia (CAP) is the foremost cause of death due to an infectious aetiology worldwide. CAP affects more than 4 million adults and accounts for more than 1 million hospital admissions each year in the United States. Knowledge of current processes of care is a basic requirement for improving the quality of medical treatment for patients with CAP. A number of different prediction rules and guidelines have been developed to assess severity and prognosis in patients with CAP. The main purpose of this research is the study of the utilization of prediction criteria for hospitalization in Greece. An observational cohort study of patients fulfilling the definition of CAP, was conducted at the General Hospital of Agrinio, during the period between January 2006 and May 2007. A total of 65 patients were included. The analysis showed that 24,6% of patients were classified as 0 CURB65 score, 20% as 1, 27,7% as 2, 9,2% as 3, 13,8% as 4 and 4,6% as 5 CURB65. A new severity score, CXR score, which measures the severity in chest radiographs is defined. Furthermore, the study proves a statistically significant correlation between mortality and CURB65, length of hospital stay and CURB65, CXR score and length of hospital stay. Additionally, a significant inverse correlation between length of hospitalization and hemoglobin A levels is outlined. The scores can be used as evidence based aid for the decision where to treat patients with CAP.

Postgraduate Studies Programme

Οικονομικά και Διοίκηση της Υγείας

Department

Σχολή Οικονομικών, Επιχειρηματικών και Διεθνών Σπουδών. Τμήμα Οικονομικής Επιστήμης

Corporate Department

Ανώτατο Εκπαιδευτικό Ίδρυμα Πειραιά Τεχνολογικού Τομέα

Number of pages

Language

Greek

URI

https://dione.lib.unipi.gr/xmlui/handle/unipi/7689

Collections

Τμήμα Οικονομικής Επιστήμης

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