ArticleChest2018
In-Hospital Deaths Among Adults With Community-Acquired Pneumonia.
Article in Chest, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 53 citations in OpenAlex.
- Impact of multiplex respiratory virus testing on antimicrobial consumption in adults in acute care: a randomized clinical trial.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2020Trial
- Glucocorticoid Treatment in Community-Acquired Pneumonia.Seminars in respiratory and critical care medicine · 2026Review
- Impact of pneumococcal urinary antigen testing on clinical outcomes in patients hospitalized with community-acquired pneumonia.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025Article
- Association between preexisting long-term care needs and in-hospital mortality and long-term outcomes in older inpatients with pneumonia: A retrospective cohort study.Journal of general and family medicine · 2025Article
- Trends and factors associated with pneumonia mortality at Buea Regional Hospital in Cameroon from 2020 to 2023.PloS one · 2025Article
- Ceftriaxone 1 g versus 2 g per day, for the treatment of community-acquired pneumonia: a retrospective cohort study.Internal and emergency medicine · 2023Article
- Leisure-time physical activity and mortality from influenza and pneumonia: a cohort study of 577 909 US adults.British journal of sports medicine · 2023Article
- Herd immunity in older adults from a middle-income country: A time-series trend analysis of community-acquired pneumonia mortality 2003-2017.Health science reports · 2023Article
- Factors Associated With In-Hospital Death Among Pneumonia Patients in US Hospitals From 2016~2019.International journal of health policy and management · 2023Article
- Impact of body mass index on in-hospital mortality in older patients hospitalized for bacterial pneumonia with non-dialysis-dependent chronic kidney disease.BMC geriatrics · 2022Article
- Can Electronic Decision Support Tools Really Reduce Mortality from Community-acquired Pneumonia?American journal of respiratory and critical care medicine · 2022Article
- Influence of overweight and obesity on the mortality of hospitalized patients with community-acquired pneumonia.World journal of clinical cases · 2022Article
- Association of early antibiotic therapy and in-hospital mortality in adult mild-to-moderate acute aspiration pneumonitis: a cohort study.Internal and emergency medicine · 2021Article
- The impact of comorbidities and their stacking on short- and long-term prognosis of patients over 50 with community-acquired pneumonia.BMC infectious diseases · 2021Article
- Understanding the Host in the Management of Pneumonia. An Official American Thoracic Society Workshop Report.Annals of the American Thoracic Society · 2021Article
- Activity of daily living upon admission is an independent predictor of in-hospital mortality in older patients with community-acquired pneumonia.BMC infectious diseases · 2021Article
- Updates on community acquired pneumonia management in the ICU.Pharmacology & therapeutics · 2021Review
- Corticosteroids for Community-Acquired Pneumonia: Overstated Benefits and Understated Risks.Chest · 2019Article
- Challenges in severe community-acquired pneumonia: a point-of-view review.Intensive care medicine · 2019Review
- Advances in community-acquired pneumonia.Therapeutic advances in infectious diseaseReview
Corrections and comments
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Authors and funding
15 authors at 10 institutions in 2 countries.
Funding
Abstract
backgroundAdults hospitalized with community-acquired pneumonia (CAP) are at high risk for short-term mortality. However, it is unclear whether improvements in in-hospital pneumonia care could substantially lower this risk. We extensively reviewed all in-hospital deaths in a large prospective CAP study to assess the cause of each death and assess the extent of potentially preventable mortality.
methodsWe enrolled adults hospitalized with CAP at five tertiary-care hospitals in the United States. Five physician investigators reviewed the medical record and study database for each patient who died to identify the cause of death, the contribution of CAP to death, and any preventable factors potentially contributing to death.
resultsAmong 2,320 enrolled patients, 52 (2.2%) died during initial hospitalization. Among these 52 patients, 33 (63.4%) were ≥ 65 years old, and 32 (61.5%) had ≥ two chronic comorbidities. CAP was judged to be the direct cause of death in 27 patients (51.9%). Ten patients (19.2%) had do-not-resuscitate orders prior to admission. Four patients were identified in whom a lapse in quality of care potentially contributed to death; preexisting end-of-life limitations were present in two of these patients. Two patients seeking full medical care experienced a lapse in in-hospital quality of pneumonia care that potentially contributed to death.
conclusionsIn this study of adults with CAP at tertiary-care hospitals with a low mortality rate, most in-hospital deaths did not appear to be preventable with improvements in in-hospital pneumonia care. Preexisting end-of-life limitations in care, advanced age, and high comorbidity burden were common among those who died.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.