지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.4
- 수록면
- 12 - 18 (7page)
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초록· 키워드
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Background: The aim of this study was to evaluate factors associated with increased risk of mortality from pneumonia among patients with pneumoconiosis.
Methods: Medical records of 103 pneumoconiosis patients hospitalized for pneumonia were investigated. Seven patients who had lung cancer or other malignancy and 13 patients with insufficient medical record were excluded. Two female patients were excluded due to small number to analyze. The subjects were divided into two groups by clinical outcome of pneumonia, the deceased group and the survival group. The two groups were compared in terms of age, smoking history, episode of recent pneumonia, concomitancy of interstitial fibrosis or fungal ball infection, extent of small opacities, grade of large opacities and results of spirometry. Multiple logistic regression was applied to determine the association between these variables and mortality from pneumonia.
Results: The deceased group showed more frequent history of recent pneumonia (p = 0.006), higher prevalence of interstitial fibrosis (p = 0.007) and longer hospitalization period (p = 0.044). The proportion of subjects who had decreased FVC, less than 70 % of predicted value, was higher in the deceased group (p < 0.001). In multiple logistic regression, after adjusting age, smoking history, recent pneumonia, fungal ball, large opacity, profusion and FVC (or FEV1) less than 70 % of predicted value, history of recent pneumonia, concomitancy of interstitial fibrosis, type of pneumoconiosis and fungal ball presented statistically significant association with mortality from pneumonia.
Conclusions: The concomitancy of fungal ball or interstitial fibrosis, history of recent pneumonia within last 90 days, type of pneumoconiosis, FVC less than 70 % of predicted value, FEV1 less than 70 % of predicted value presented statistically significant association with mortality from pneumonia. More attention should be given to patients who have such factors when treating pneumonia with pneumoconiosis.
Methods: Medical records of 103 pneumoconiosis patients hospitalized for pneumonia were investigated. Seven patients who had lung cancer or other malignancy and 13 patients with insufficient medical record were excluded. Two female patients were excluded due to small number to analyze. The subjects were divided into two groups by clinical outcome of pneumonia, the deceased group and the survival group. The two groups were compared in terms of age, smoking history, episode of recent pneumonia, concomitancy of interstitial fibrosis or fungal ball infection, extent of small opacities, grade of large opacities and results of spirometry. Multiple logistic regression was applied to determine the association between these variables and mortality from pneumonia.
Results: The deceased group showed more frequent history of recent pneumonia (p = 0.006), higher prevalence of interstitial fibrosis (p = 0.007) and longer hospitalization period (p = 0.044). The proportion of subjects who had decreased FVC, less than 70 % of predicted value, was higher in the deceased group (p < 0.001). In multiple logistic regression, after adjusting age, smoking history, recent pneumonia, fungal ball, large opacity, profusion and FVC (or FEV1) less than 70 % of predicted value, history of recent pneumonia, concomitancy of interstitial fibrosis, type of pneumoconiosis and fungal ball presented statistically significant association with mortality from pneumonia.
Conclusions: The concomitancy of fungal ball or interstitial fibrosis, history of recent pneumonia within last 90 days, type of pneumoconiosis, FVC less than 70 % of predicted value, FEV1 less than 70 % of predicted value presented statistically significant association with mortality from pneumonia. More attention should be given to patients who have such factors when treating pneumonia with pneumoconiosis.
목차
Abstract
Background
Methods
Results
Discussion
Conclusion
References
참고문헌 (35)
참고문헌 신청
Ortmeyer CE, Baier EJ, Crawford Jr GM. Life expectancy of Pennsylvania coal miners compensated for disability as affected by pneumoconiosis and ventilatory impairment. Arch Environ Health. 1973;27:227–30.
Ortmeyer CE, Costello J, Morgan WK, Swecker S, Peterson M. The mortality of Appalachian coal miners, 1963 to 1971. Arch Environ Health. 1974;29:67–72.
Cochrane AL. Relation between radiographic categories of coalworkers’ pneumoconiosis and expectation of life. Br Med J. 1973;2:532–4.
Yi Q, Zhang Z. The survival analyses of 2738 patients with simple pneumoconiosis. Occup Environ Med. 1996;53:129–35.
Waters WE, Cochrane AL, Moore F. Mortality in punctiform type of coalworkers’ pneumoconiosis. Br J Ind Med. 1974;31:196–200.
Ortmeyer CE, Costello J, Morgan WK, Swecker S, Peterson M. The mortality of Appalachian coal miners, 1963 to 1971. Arch Environ Health. 1974;29:67–72.
Cochrane AL. Relation between radiographic categories of coalworkers’ pneumoconiosis and expectation of life. Br Med J. 1973;2:532–4.
Yi Q, Zhang Z. The survival analyses of 2738 patients with simple pneumoconiosis. Occup Environ Med. 1996;53:129–35.
Waters WE, Cochrane AL, Moore F. Mortality in punctiform type of coalworkers’ pneumoconiosis. Br J Ind Med. 1974;31:196–200.
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UCI(KEPA) : I410-ECN-0101-2016-517-002874434