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Adverse Events in Patients With Community-Acquired Pneumonia at an Academic Tertiary Emergency Department

2006; Lippincott Williams & Wilkins; Volume: 14; Issue: 6 Linguagem: Inglês

10.1097/01.idc.0000227713.81012.ae

1536-9943

Renata Mahfuz Daud-Gallotti, Hillegonda Maria Dutilh Novaes, Maria Cecília Lorenzi, José Eluf‐Neto, Mirna Namie Okamura, Vladimir Ribeiro Pinto Pizzo, Irineu Tadeu Velasco,

Nosocomial Infections in ICU

A matched case-control study was carried out at a Brazilian academic medical emergency department to identify the occurrence of adverse events (AEs) in patients with community-acquired pneumonia (CAP) and disclose their association with in-hospital death. The cases comprised 101 consecutive deaths and the controls 101 discharged patients admitted for CAP from March 1996 to September 1999. Adverse events were classified according to severity, potential causes, the occurrence of nosocomial infections, and the related professional category. A total of 603 AEs were identified, predominating among the deceased patients: 456 events (75.6%) in 85 cases and 147 (24.4%) in 55 controls. Severe AEs also predominated among the cases. Procedures and nursing activities were the main AE-related potential causes. The occurrence of at least 1 AE was associated with a higher risk of death (3.25-fold). This association was stronger when either severe AEs (8.37-fold) or medical AEs (4.23-fold) were analyzed.