Frontiers in Medicine (Oct 2023)
Is the long-term mortality similar in COVID-19 and community-acquired pneumonia?
- Raúl Méndez,
- Raúl Méndez,
- Raúl Méndez,
- Raúl Méndez,
- Paula González-Jiménez,
- Paula González-Jiménez,
- Paula González-Jiménez,
- Ana Latorre,
- Noé Mengot,
- Noé Mengot,
- Rafael Zalacain,
- Luis A. Ruiz,
- Luis A. Ruiz,
- Leyre Serrano,
- Leyre Serrano,
- Pedro P. España,
- Ane Uranga,
- Catia Cillóniz,
- Catia Cillóniz,
- Catia Cillóniz,
- David Hervás,
- David Hervás,
- Antoni Torres,
- Antoni Torres,
- Antoni Torres,
- Antoni Torres,
- Rosario Menéndez,
- Rosario Menéndez,
- Rosario Menéndez,
- Rosario Menéndez,
- NEUMONAC,
- RECOVID
Affiliations
- Raúl Méndez
- Pneumology Department, La Fe University and Polytechnic Hospital, Valencia, Spain
- Raúl Méndez
- Respiratory Infections, Health Research Institute La Fe (IISLAFE), Valencia, Spain
- Raúl Méndez
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain
- Raúl Méndez
- Department of Medicine, University of Valencia, Valencia, Spain
- Paula González-Jiménez
- Pneumology Department, La Fe University and Polytechnic Hospital, Valencia, Spain
- Paula González-Jiménez
- Respiratory Infections, Health Research Institute La Fe (IISLAFE), Valencia, Spain
- Paula González-Jiménez
- Department of Medicine, University of Valencia, Valencia, Spain
- Ana Latorre
- Respiratory Infections, Health Research Institute La Fe (IISLAFE), Valencia, Spain
- Noé Mengot
- Pneumology Department, La Fe University and Polytechnic Hospital, Valencia, Spain
- Noé Mengot
- Respiratory Infections, Health Research Institute La Fe (IISLAFE), Valencia, Spain
- Rafael Zalacain
- Pneumology Department, Cruces University Hospital, Barakaldo, Spain
- Luis A. Ruiz
- Pneumology Department, Cruces University Hospital, Barakaldo, Spain
- Luis A. Ruiz
- Department of Immunology, Microbiology and Parasitology, Facultad de Medicina y Enfermería, Universidad del País Vasco/Euskal Herriko Unibertsitatea UPV/EHU, Leioa, Spain
- Leyre Serrano
- Pneumology Department, Cruces University Hospital, Barakaldo, Spain
- Leyre Serrano
- Department of Immunology, Microbiology and Parasitology, Facultad de Medicina y Enfermería, Universidad del País Vasco/Euskal Herriko Unibertsitatea UPV/EHU, Leioa, Spain
- Pedro P. España
- Pneumology Department, Galdakao-Usansolo Hospital, Galdacano, Spain
- Ane Uranga
- Pneumology Department, Galdakao-Usansolo Hospital, Galdacano, Spain
- Catia Cillóniz
- Department of Medicine, University of Barcelona, Barcelona, Spain
- Catia Cillóniz
- Faculty of Health Sciences, Continental University, Huancayo, Peru
- Catia Cillóniz
- 0August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain
- David Hervás
- 1Data Science, Biostatistics and Bioinformatics, Health Research Institute La Fe (IISLAFE), Valencia, Spain
- David Hervás
- 2Department of Applied Statistics and Operational Research and Quality, Universitat Politècnica de València, Valencia, Spain
- Antoni Torres
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain
- Antoni Torres
- Department of Medicine, University of Barcelona, Barcelona, Spain
- Antoni Torres
- 0August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain
- Antoni Torres
- 3Pneumology Department, Hospital Clinic of Barcelona, Barcelona, Spain
- Rosario Menéndez
- Pneumology Department, La Fe University and Polytechnic Hospital, Valencia, Spain
- Rosario Menéndez
- Respiratory Infections, Health Research Institute La Fe (IISLAFE), Valencia, Spain
- Rosario Menéndez
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain
- Rosario Menéndez
- Department of Medicine, University of Valencia, Valencia, Spain
- NEUMONAC
- RECOVID
- DOI
- https://doi.org/10.3389/fmed.2023.1236142
- Journal volume & issue
-
Vol. 10
Abstract
IntroductionThere are no data on the association of type of pneumonia and long-term mortality by the type of pneumonia (COVID-19 or community-acquired pneumonia [CAP]) on long-term mortality after an adjustment for potential confounding variables. We aimed to assess the type of pneumonia and risk factors for long-term mortality in patients who were hospitalized in conventional ward and later discharged.MethodsRetrospective analysis of two prospective and multicentre cohorts of hospitalized patients with COVID-19 and CAP. The main outcome under study was 1-year mortality in hospitalized patients in conventional ward and later discharged. We adjusted a Bayesian logistic regression model to assess associations between the type of pneumonia and 1-year mortality controlling for confounders.ResultsThe study included a total of 1,693 and 2,374 discharged patients in the COVID-19 and CAP cohorts, respectively. Of these, 1,525 (90.1%) and 2,249 (95%) patients underwent analysis. Until 1-year follow-up, 69 (4.5%) and 148 (6.6%) patients from the COVID-19 and CAP cohorts, respectively, died (p = 0.008). However, the Bayesian model showed a low probability of effect (PE) of finding relevant differences in long-term mortality between CAP and COVID-19 (odds ratio 1.127, 95% credibility interval 0.862–1.591; PE = 0.774).ConclusionCOVID-19 and CAP have similar long-term mortality after adjusting for potential confounders.
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