Postgraduate Thesis: The characteristics of patients with previous residence in mainland China admitted to the intensive care unit in Hong Kong with community-acquired pneumonia

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TitleThe characteristics of patients with previous residence in mainland China admitted to the intensive care unit in Hong Kong with community-acquired pneumonia
AuthorsHo, Chun-ming
何俊明
Issue Date2012
PublisherThe University of Hong Kong (Pokfulam, Hong Kong)
AbstractObjectives: To review the characteristics, outcomes, patterns of infection, and predictors of mortality in critically ill patients with community acquired pneumonia from the Mainland China requiring intensive care in Hong Kong Design: Retrospective cohort study Setting: A regional hospital in Hong Kong Patients: Critically ill patients who lived in the Mainland and were admitted to the Intensive Care Unit (ICU) of North District Hospital (NDH) from September 2008 to August 2010 Intervention: None Measurements and Results: Fifty one patients (median age, 50 years) were analyzed. It accounts for 4.1% of our annual ICU admission. The median APACHE II, SOFA, and CURB-65 scores are 24.5, 10.5, and 6 respectively. Most of these patients required mechanical ventilator support (n=42, 84%) in our unit. Pathogenic organisms can be identified in the majority of these patients (n=33, 66%). The most common organism was Streptococcus pneumoniae. Confusion, blood urea level greater than 7 mmol/L, and higher APACHE II / CURB-65 scores are considered as poor prognostic factors. Conclusions: Community acquired pneumonia is a common cause of intensive care admission among patients living in the Mainland with a significant mortality. Better understanding of their characteristics is important.
DescriptionThesis (P. Dip.)--University of Hong Kong, 2012.
"This work is submitted to the Department of Microbiology, the University of Hong Kong in partial fulfillment of the requirements for the Postgraduate Diploma in Infectious Diseases (PDipID) 2010-2012."
Includes bibliographical references.
DegreePostgraduate Diploma in Infectious Diseases
SubjectCommunity-acquired pneumonia -- China -- Hong Kong.
Dept/ProgramMicrobiology
DC Field
Value
dc.contributor.authorHo, Chun-ming
dc.contributor.author何俊明
dc.date.accessioned2012-11-01T02:50:33Z
dc.date.available2012-11-01T02:50:33Z
dc.date.issued2012
dc.description.abstractObjectives: To review the characteristics, outcomes, patterns of infection, and predictors of mortality in critically ill patients with community acquired pneumonia from the Mainland China requiring intensive care in Hong Kong Design: Retrospective cohort study Setting: A regional hospital in Hong Kong Patients: Critically ill patients who lived in the Mainland and were admitted to the Intensive Care Unit (ICU) of North District Hospital (NDH) from September 2008 to August 2010 Intervention: None Measurements and Results: Fifty one patients (median age, 50 years) were analyzed. It accounts for 4.1% of our annual ICU admission. The median APACHE II, SOFA, and CURB-65 scores are 24.5, 10.5, and 6 respectively. Most of these patients required mechanical ventilator support (n=42, 84%) in our unit. Pathogenic organisms can be identified in the majority of these patients (n=33, 66%). The most common organism was Streptococcus pneumoniae. Confusion, blood urea level greater than 7 mmol/L, and higher APACHE II / CURB-65 scores are considered as poor prognostic factors. Conclusions: Community acquired pneumonia is a common cause of intensive care admission among patients living in the Mainland with a significant mortality. Better understanding of their characteristics is important.
dc.description.naturepublished_or_final_version
dc.descriptionThesis (P. Dip.)--University of Hong Kong, 2012.
dc.description"This work is submitted to the Department of Microbiology, the University of Hong Kong in partial fulfillment of the requirements for the Postgraduate Diploma in Infectious Diseases (PDipID) 2010-2012."
dc.descriptionIncludes bibliographical references.
dc.description.thesisdisciplineMicrobiology
dc.description.thesislevelPostgraduate diploma
dc.description.thesisnamePostgraduate Diploma in Infectious Diseases
dc.identifier.hkulb4832055
dc.identifier.urihttp://hdl.handle.net/10722/173739
dc.languageeng
dc.publisherThe University of Hong Kong (Pokfulam, Hong Kong)
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
dc.rightsThe author retains all proprietary rights, (such as patent rights) and the right to use in future works.
dc.subject.lcshCommunity-acquired pneumonia -- China -- Hong Kong.
dc.titleThe characteristics of patients with previous residence in mainland China admitted to the intensive care unit in Hong Kong with community-acquired pneumonia
dc.typePG_Thesis