Prognostic Factors of In-hospital Mortality in Patients without Human Immunodeficiency Virus Infection with <i>Pneumocystis</i> Pneumonia: A Retrospective Cohort Study Article Swipe
Jumpei Taniguchi
,
Shotaro Aso
,
Taisuke Jo
,
Hiroki Matsui
,
Kiyohide Fushimi
,
Hideo Yasunaga
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.2169/internalmedicine.4090-24
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.2169/internalmedicine.4090-24
Objective This study explored the prognostic factors of in-hospital mortality in patients with Pneumocystis pneumonia (PCP) without human immunodeficiency virus (HIV) infection, using a Japanese nationwide inpatient database. Methods We extracted the data of patients with PCP without HIV infection between July 2010 and March 2022 from the Diagnosis Procedure Combination database. We performed multivariable logistic regression analyses to identify the prognostic factors of in-hospital mortality in with PCP without HIV infection. Results We identified 1,704 patients with PCP without HIV infection and 404 (23.7%) in-hospital deaths. Higher in-hospital mortality was associated with advanced age, male sex [odds ratio (OR), 1.45; 95% confidence interval (CI), 1.06-2.00], a low Barthel index score, non-hematological malignancy (OR, 1.81; 95% CI, 1.22-2.70), receipt of mechanical ventilation (OR, 2.49; 95% CI, 1.47-4.21), and administration of antibiotics (OR, 1.52; 95% CI, 1.12-2.06) and antifungal drugs (OR, 1.83; 95% CI, 1.26-2.67). Lower in-hospital mortality was associated with connective tissue disease and vasculitis (OR, 0.55; 95% CI, 0.37-0.81), hematological malignancy (OR, 0.59; 95% CI, 0.38-0.93), and early trimethoprim-sulfamethoxazole treatment (OR, 0.63; 95% CI, 0.44-0.90). Conclusion These findings will help physicians identify patients who may benefit from early aggressive therapeutic interventions.
Related Topics
Concepts
Medicine
Retrospective cohort study
Pneumocystis pneumonia
Pneumonia
Human immunodeficiency virus (HIV)
Cohort
Cohort study
Internal medicine
Pneumocystis carinii
Immunology
Virology
Pneumocystis jirovecii
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.2169/internalmedicine.4090-24
- https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_4090-24/_pdf
- OA Status
- diamond
- References
- 33
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4401161241
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4401161241Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.2169/internalmedicine.4090-24Digital Object Identifier
- Title
-
Prognostic Factors of In-hospital Mortality in Patients without Human Immunodeficiency Virus Infection with <i>Pneumocystis</i> Pneumonia: A Retrospective Cohort StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-07-31Full publication date if available
- Authors
-
Jumpei Taniguchi, Shotaro Aso, Taisuke Jo, Hiroki Matsui, Kiyohide Fushimi, Hideo YasunagaList of authors in order
- Landing page
-
https://doi.org/10.2169/internalmedicine.4090-24Publisher landing page
- PDF URL
-
https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_4090-24/_pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
-
https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_4090-24/_pdfDirect OA link when available
- Concepts
-
Medicine, Retrospective cohort study, Pneumocystis pneumonia, Pneumonia, Human immunodeficiency virus (HIV), Cohort, Cohort study, Internal medicine, Pneumocystis carinii, Immunology, Virology, Pneumocystis jiroveciiTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
-
33Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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