| Summary: | 碩士 === 嘉南藥理大學 === 醫務管理系 === 105 === Objective
Pneumonia is a commonly existed disease which often overlooked. In recent years, its ranking in the top ten causes of death in Taiwan increased year by year. This study was designed to investigate the hospital-related risk factors for pneumonia patients and the factors that affect the effectiveness of medical care. It is expected that the findings will be used clinically and will provide advices on the future clinical treatment of pneumonia patients.
Methods
The study is designed as a retrospective study by patients’ medical charts. The research field is set on a regional teaching hospital in southern Taiwan. At entry patients, above 18 years old, with chest X-ray infiltration, and were diagnosed with pneumonia inpatients. A totally 515 participants finished the investigation during July 2015 to June 2016. Statistical methods were used including descriptive statistics of percentage, average, analytical statistics of chi-square test and binary logistic regression analysis. This study has been registered in the clinical trial (B-16-K011).
Results
Of the valid 515 participants, it include 281 male patients with averagely 70.64±16.824 years old and 234 female patients with averagely72.88±17.997 years old. With the binary logistic regression analysis, we have findings described as below. The odds ratio of patients aged ≥65 is 2.467 times higher than <65 group; the odds ratio of patients with cancer diagnosed postive is 4.689 times higher than thoes negative; the odds ratio of patients with DM diagnosed postive is 1.984 times higher than thoes with negative; CRP value ≥10 mg/dl has 2.458 times of odds ratio than <10 group. Furthermore in survival analysis, the survival rate was reduced by 4.8% for each 1 year on age; the survival rate decreased by 6.6% for every 1 mg / dl CRP increase; the survival rate was 5.602 times higher with cancer diagnosed negative; and 2.398 times of survival rate is higher with DM diagnosed negative.
Conclusions
Increased age is one of the most important risk factors that slightly lead to a reduction in the survival rate of pneumonia patients, and patients with cancer or diabetes do significantly reduce their survival rate. Finally, with the increase in CRP levels of pneumonia patients, the survival rate also decreased.
|
|---|
