کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3248090 1589147 2013 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Time to First Antibiotics for Pneumonia is not Associated with In-Hospital Mortality
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Time to First Antibiotics for Pneumonia is not Associated with In-Hospital Mortality
چکیده انگلیسی

BackgroundTime to first antibiotic (TTFA) is postulated to impact pneumonia mortality. The Joint Commission/Centers for Medicare and Medicaid Services national quality standards previously indicated that TTFA should be <6 h (modified from <4 h when the study was initiated, now eliminated as a time measure entirely).ObjectiveThe purpose of this article was to determine whether TTFA is associated with inpatient mortality.MethodsThe records of 444 consecutive patients admitted with pneumonia at a single institution were retrospectively reviewed for a correlation between TTFA and inpatient complications, including death. Statistical significance was set at p < 0.01 due to multiple comparisons.ResultsPatients whose TTFA was <4 h had more complications (27% vs. 3%; p < 0.01) including death, intensive care unit admission, and intubation. These patients were judged sicker on arrival (median Emergency Severity Index 2 vs. 3; p < 0.001) and were more likely to be triaged to a critical care bed (36% vs. 5%; p < 0.001). Shortness of breath was the only presenting factor that was more frequent in the TTFA <4-h group (61% vs. 16%; p < 0.01).ConclusionsShorter TTFA is not associated with improved inpatient mortality. TTFA should not be considered to be a marker of quality of care but rather a reflection of patient disease severity.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Emergency Medicine - Volume 45, Issue 1, July 2013, Pages 1–7
نویسندگان
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