Factors Associated with 24-Hour Mortality in Patients with Pneumonia at Emergency Department, Yasothon Hospital
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Abstract
Community-acquired pneumonia (CAP) is caused by an out-of-hospital microbial infection. Patients
usually present with signs and symptoms suggestive of a lower respiratory tract infection with abnormal
findings in chest radiograph occurring acutely or up to 2 weeks. Complications and mortality within the first
24 hours of CAP patients are critical. This study aimed to determine the characteristics, causes and factors
associated with 24-hour mortality of patient with pneumonia at emergency department of Yasothon
hospital. Study style is retrospective analytical study. The population group is the medical records of all
CAP patients in emergency department from October 1, 2020 to September 30, 2021. Early deaths, defined as death due to any cause within 24 hours after admission, were compared with all patients who survived
more than 24 hours after admission. In addition, early death and late death were compared. (patients who
died > 24 hours) and survivors.
Results: Of the 519 patients, the mortality rate within 24 hours after admission was 37 (7.1%) and after 24
hours was 92 (17.7%). Overall mortality rate was 129 (24.9%). The leading causes of death within 24 hours
were acute respiratory failure and septic shock with multiple organ failure. Independent factors associated
with early mortality were age 60 and over, altered mental status, multilobar infiltration, septic shock, severe
pneumonia and inappropriate antibiotic therapy.
Conclusion: Causes and factors associated with mortality within 24 hours of pneumonia patients admitted
to the Accident and Emergency Department, Yasothon Hospital include elderly patients, patients with
altered mental status, multilobar infiltration, septic shock, severe pneumonia and inappropriate antibiotic
therapy primarily caused by lack of protection against Burkholderia pseudomallei is also a risk factor.
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