Resumo

ABASCAL CABRERA, Martha; GONZALEZ RUBIO, Rafael; LA ROSA DOMINGUEZ, Alberto  e  ULLOA QUINTANILLA, Félix. Repercusión de la bronconeumonía en la mortalidad hospitalaria. Rev Cub Med Mil [online]. 2001, vol.30, n.2, pp. 99-105. ISSN 1561-3046.

A prospective and longitudinal study of the mortality from bronchopneumonia registered at "Manuel Fajardo Rivero" Clinical and Surgical Provincial Military Hospital of Santa Clara from January, 1997, to October, 1999, was conducted. 342 patients died of bronchopneumonia. 21.9 % caught bronchopneumonia at the hospital. The use of intravenous catheter, nasogastric tube, mechanical ventilation and diseases such as chronic obstructive pulmonary disease (COPD), heart failure and extrahospital bronchopneumonia were among the main risk factors. Bronchopeumonia was associated with COPD (13.5 %), cerebrovascular accidents (13.2 %), diabetes mellitus (10.8 %) and acute diarrheal disease (10.5 %). The highest percentage of deaths occurred in the age group 81-90 (28.6 %). Extrahospital bronchopneumonia was the direct cause of death in 66.7 % , whereas in 31.8 %, it was the intermediate cause. The hospital was considered as the responsible for the direct cause of death in 72 % and as the intermediate cause in 21.3 %. In both types of bronchopneumonia it is more frequent the direct cause than the intermediate, which is more significant in intrahospital bronchopneumonias. Bronchopneumonia was the direct or intermediate cause of death in 97.4 % of the 342 deaths from this cause.

Palavras-chave : LONGITUDINAL STUDIES; BRONCHOPNEUMONIA [mortality]; BRONCHOP- NEUMONIA [pathology]; CROSS INFECTION; AUTOPSY; RISK FACTORS.

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