New evidence of risk factors for community-acquired pneumonia: A population-based study

J. Almirall; I. Bolíbar; M. Serra-Prat; J. Roig; I. Hospital; E. Carandell; M. Agustí; P. Ayuso; A. Estela; A. Torres; J. M. De Salas; J. Costa; M. Tristany; M. J. Grau; S. Sancho; E. Miguel; M. Fradera; I. Ochoa; M. J. Castany; A. Quilez; V. Marina; P. Subias; B. Jimeno; A. Bradnovich; M. Rodriguez; E. Ramon; A. Gardella; C. Ginés; X. Mestres; A. Armada; J. Mallafré; M. Roger; M. T. Gros; N. Les; J. Joanola; J. Doménech; M. Bundó; M. Trilla; J. Massons; J. Montero; E. Zurilla; P. Torán; M. M. Aizpurua; G. Lozano; J. Casals; J. Sorribes; D. Torrellas; J. L.L. Anglada; J. Salabarnada; E. Sanz; F. Gorgas; A. Ribas; E. Fau; I. Pellicer; S. Morales; A. Casas; J. Bernad; A. De Montoliu; J. Gaya; R. Vallés; A. Vazquez; R. Peiró; G. Aresté; G. N. Mengual; M. C. Viñes; E. Almerich; M. A. Lopez; J. Bel; A. Gosalves; S. Macip; E. Carrillo; P. Paulo; M. Pol; J. Sala; P. Mir; P. Carrera; I. Legazpi; F. Planellas; A. Beltran; T. Planas; J. Rovira; M. De Ciurana; C. Xargay; R. B. Cortés; J. Paredes; J. G. Olive; P. Montoya; F. X. Burcet; D. Alcantarilla; J. De Ribot; M. R. Gorgot; R. A. Bas; M. B. Rosa; J. Castells; J. A. Castillo; J. C. Torrent; D. Rodríguez; X. Rius; M. Navarro; J. M. Benet; J. C. Caballero; J. Llach; J. Sanglas; V. Morales; J. Solanella; J. I. Cardona; J. Ferrer; M. J. Solís; F. Güerri; M. J. Murillo; M. D. Llovet; I. Guinea; M. M. Juáreztarrag; M. Alvarez; J. Bladé; I. Sánchez Oró; F. Martin; J. J. Cabré; J. Frigola; J. Boj; A. Chacon; E. Satué; F. Gallego; D. Montanyés; T. Basora; E. Martin; P. Gil; M. Roselló; J. Marimon; B. Costa; C. Gutiérrez; E. Moltó; A. Isach; N. Izzeddin; M. Campani; J. Ferré; A. Fernández; J. Jové; J. Vilalta; E. Ribera; M. Fernández; O. Ochoa; A. Vila Palacios; A. Donado-Mazarrón; C. Ramon; R. Caballol; L. Navarro; J. Masqué; L. L. Llor; G. Garcia; M. J. Arasa; A. Yoldi; I. Viloria; F. Vallespi; J. L.L. Clua; J. M. Basart; E. Ciurana; J. F. Monclus; A. Casanovas; L. Viñas; E. Checa; J. Marin; J. Santigosa; F. Arayo; C. Campillos; A. Juarez; J. Perez; E. Paredes; J. Rodriguez; Y. Solà; J. Pujol; M. A. Navarro; I. Casado; M. Madrid; J. Berdié; M. J. Andrés; B. Barragan; A. Torras; S. Gonzalez; A. Fuentes; J. A. El Hosn-Makarem; F. Pelaez; A. Ubieto; A. Fallada; A. Josa; E. Favà; M. Ros; M. Alonso; M. J. Pinazo; S. Borrás; C. Nolla; J. Bitrià; O. Araujo; A. Collado; T. Glaria; J. C. Montero; P. Flores; P. Serra; E. Torrellas; I. Buxadé; J. Mussoll; M. Gomez; C. Serrano; M. Pubill; J. Gost; E. Burdoy; L. L. Busquets; S. De Castro; M. Bartolomé; E. Corona; R. Valverde; Y. Verde; M. Alegre; M. Papiol; O. Martí; M. Catalá; M. A. Martinez; E. Diaz; A. Borrás; F. Aznar; F. Riera; I. Colom; E. Calvet; J. Nicolás; J. Ruiz; C. Mateu; J. Arranz; A. Fé; B. Puig; M. Gutiérrez; L. L. Morant; M. Llull; J. Estelrich; L. Quintana; C. Llabrés; M. M. Sureda; L. Cuevas; Y. Muñoz; J. Llobera; M. Iñiguez; J. Guasch; F. Sánchez; J. Pascual; A. Castelló; L. L. Gómez; P. Marin; C. Garcia; P. Moreno; M. Coll; C. Palma; C. Ribera; J. Aldosa; C. Alonso; A. Bergés; J. Burgués; L. L. Burgués; J. Busquets; D. Casal; N. Cerdán; X. Crespo; R. Duat; J. Escoda; M. Fiter; A. Font; M. Fraysse; S. Fuentes; R. García-Núñez; T. López-Pinacho; M. Masardo; J. Martínez-Illescas; P. Morisset; M. Pallarés; R. Pérez-Serra; A. Plà; E. Pons; A. Ruiz; J. C. Rodríguez-Picart; J. Sánchez-Claver; E. Sylvestre; R. Tolosa; J. A. Touceda; J. R. Varela; J. C. Vidal

doi:10.1183/09031936.00095807

New evidence of risk factors for community-acquired pneumonia: A population-based study

J. Almirall^*, I. Bolíbar, M. Serra-Prat, J. Roig, I. Hospital, E. Carandell, M. Agustí, P. Ayuso, A. Estela, A. Torres, J. M. De Salas, J. Costa, M. Tristany, M. J. Grau, S. Sancho, E. Miguel, M. Fradera, I. Ochoa, M. J. Castany, A. QuilezV. Marina, P. Subias, B. Jimeno, A. Bradnovich, M. Rodriguez, E. Ramon, A. Gardella, C. Ginés, X. Mestres, A. Armada, J. Mallafré, M. Roger, M. T. Gros, N. Les, J. Joanola, J. Doménech, M. Bundó, M. Trilla, J. Massons, J. Montero, E. Zurilla, P. Torán, M. M. Aizpurua, G. Lozano, J. Casals, J. Sorribes, D. Torrellas, J. L.L. Anglada, J. Salabarnada, E. Sanz, F. Gorgas, A. Ribas, E. Fau, I. Pellicer, S. Morales, A. Casas, J. Bernad, A. De Montoliu, J. Gaya, R. Vallés, A. Vazquez, R. Peiró, G. Aresté, G. N. Mengual, M. C. Viñes, E. Almerich, M. A. Lopez, J. Bel, A. Gosalves, S. Macip, E. Carrillo, P. Paulo, M. Pol, J. Sala, P. Mir, P. Carrera, I. Legazpi, F. Planellas, A. Beltran, T. Planas, J. Rovira, M. De Ciurana, C. Xargay, R. B. Cortés, J. Paredes, J. G. Olive, P. Montoya, F. X. Burcet, D. Alcantarilla, J. De Ribot, M. R. Gorgot, R. A. Bas, M. B. Rosa, J. Castells, J. A. Castillo, J. C. Torrent, D. Rodríguez, X. Rius, M. Navarro, J. M. Benet, J. C. Caballero, J. Llach, J. Sanglas, V. Morales, J. Solanella, J. I. Cardona, J. Ferrer, M. J. Solís, F. Güerri, M. J. Murillo, M. D. Llovet, I. Guinea, M. M. Juáreztarrag, M. Alvarez, J. Bladé, I. Sánchez Oró, F. Martin, J. J. Cabré, J. Frigola, J. Boj, A. Chacon, E. Satué, F. Gallego, D. Montanyés, T. Basora, E. Martin, P. Gil, M. Roselló, J. Marimon, B. Costa, C. Gutiérrez, E. Moltó, A. Isach, N. Izzeddin, M. Campani, J. Ferré, A. Fernández, J. Jové, J. Vilalta, E. Ribera, M. Fernández, O. Ochoa, A. Vila Palacios, A. Donado-Mazarrón, C. Ramon, R. Caballol, L. Navarro, J. Masqué, L. L. Llor, G. Garcia, M. J. Arasa, A. Yoldi, I. Viloria, F. Vallespi, J. L.L. Clua, J. M. Basart, E. Ciurana, J. F. Monclus, A. Casanovas, L. Viñas, E. Checa, J. Marin, J. Santigosa, F. Arayo, C. Campillos, A. Juarez, J. Perez, E. Paredes, J. Rodriguez, Y. Solà, J. Pujol, M. A. Navarro, I. Casado, M. Madrid, J. Berdié, M. J. Andrés, B. Barragan, A. Torras, S. Gonzalez, A. Fuentes, J. A. El Hosn-Makarem, F. Pelaez, A. Ubieto, A. Fallada, A. Josa, E. Favà, M. Ros, M. Alonso, M. J. Pinazo, S. Borrás, C. Nolla, J. Bitrià, O. Araujo, A. Collado, T. Glaria, J. C. Montero, P. Flores, P. Serra, E. Torrellas, I. Buxadé, J. Mussoll, M. Gomez, C. Serrano, M. Pubill, J. Gost, E. Burdoy, L. L. Busquets, S. De Castro, M. Bartolomé, E. Corona, R. Valverde, Y. Verde, M. Alegre, M. Papiol, O. Martí, M. Catalá, M. A. Martinez, E. Diaz, A. Borrás, F. Aznar, F. Riera, I. Colom, E. Calvet, J. Nicolás, J. Ruiz, C. Mateu, J. Arranz, A. Fé, B. Puig, M. Gutiérrez, L. L. Morant, M. Llull, J. Estelrich, L. Quintana, C. Llabrés, M. M. Sureda, L. Cuevas, Y. Muñoz, J. Llobera, M. Iñiguez, J. Guasch, F. Sánchez, J. Pascual, A. Castelló, L. L. Gómez, P. Marin, C. Garcia, P. Moreno, M. Coll, C. Palma, C. Ribera, J. Aldosa, C. Alonso, A. Bergés, J. Burgués, L. L. Burgués, J. Busquets, D. Casal, N. Cerdán, X. Crespo, R. Duat, J. Escoda, M. Fiter, A. Font, M. Fraysse, S. Fuentes, R. García-Núñez, T. López-Pinacho, M. Masardo, J. Martínez-Illescas, P. Morisset, M. Pallarés, R. Pérez-Serra, A. Plà, E. Pons, A. Ruiz, J. C. Rodríguez-Picart, J. Sánchez-Claver, E. Sylvestre, R. Tolosa, J. A. Touceda, J. R. Varela, J. C. Vidal

^*Autor/a de correspondencia de este trabajo

Producción científica: Artículo en revista indizada › Artículo › revisión exhaustiva

287 Citas (Scopus)

Resumen

The aim of the present study was to identify risk factors for community-acquired pneumonia (CAP), with special emphasis on modifiable risk factors and those applicable to the general population. A population-based, case-control study was conducted, with a target population of 859,033 inhabitants aged >14 yrs. A total of 1,336 patients with confirmed CAP were matched to control subjects by age, sex and primary centre over 1 yr. In the univariate analysis, outstanding risk factors were passive smoking in never-smokers aged >65 yrs, heavy alcohol intake, contact with pets, households with >10 people, contact with children, interventions on the upper airways and poor dental health. Risky treatments included amiodarone, N-acetylcysteine and oral steroids. Influenza and pneumococcal vaccine, and visiting the dentist were protective factors. Multivariable analysis confirmed cigarette smoking, usual contact with children, sudden changes of temperature at work, inhalation therapy (particularly containing steroids and using plastic pear-spacers), oxygen therapy, asthma and chronic bronchitis as independent risk factors. Interventions for reducing community-acquired pneumonia should integrate health habits and lifestyle factors related to household, work and community, together with individual clinical conditions, comorbidities and oral or inhaled regular treatments. Prevention would include vaccination, dental hygiene and avoidance of upper respiratory colonisation. Copyright

Idioma original	Inglés
Páginas (desde-hasta)	1274-1284
Número de páginas	11
Publicación	European Respiratory Journal
Volumen	31
N.º	6
DOI	https://doi.org/10.1183/09031936.00095807
Estado	Publicada - jun 2008
Publicado de forma externa	Sí

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

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10.1183/09031936.00095807

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Almirall, J., Bolíbar, I., Serra-Prat, M., Roig, J., Hospital, I., Carandell, E., Agustí, M., Ayuso, P., Estela, A., Torres, A., De Salas, J. M., Costa, J., Tristany, M., Grau, M. J., Sancho, S., Miguel, E., Fradera, M., Ochoa, I., Castany, M. J., ... Vidal, J. C. (2008). New evidence of risk factors for community-acquired pneumonia: A population-based study. European Respiratory Journal, 31(6), 1274-1284. https://doi.org/10.1183/09031936.00095807

@article{350b280a64ec45429e12b7172b5c96e7,

title = "New evidence of risk factors for community-acquired pneumonia: A population-based study",

abstract = "The aim of the present study was to identify risk factors for community-acquired pneumonia (CAP), with special emphasis on modifiable risk factors and those applicable to the general population. A population-based, case-control study was conducted, with a target population of 859,033 inhabitants aged >14 yrs. A total of 1,336 patients with confirmed CAP were matched to control subjects by age, sex and primary centre over 1 yr. In the univariate analysis, outstanding risk factors were passive smoking in never-smokers aged >65 yrs, heavy alcohol intake, contact with pets, households with >10 people, contact with children, interventions on the upper airways and poor dental health. Risky treatments included amiodarone, N-acetylcysteine and oral steroids. Influenza and pneumococcal vaccine, and visiting the dentist were protective factors. Multivariable analysis confirmed cigarette smoking, usual contact with children, sudden changes of temperature at work, inhalation therapy (particularly containing steroids and using plastic pear-spacers), oxygen therapy, asthma and chronic bronchitis as independent risk factors. Interventions for reducing community-acquired pneumonia should integrate health habits and lifestyle factors related to household, work and community, together with individual clinical conditions, comorbidities and oral or inhaled regular treatments. Prevention would include vaccination, dental hygiene and avoidance of upper respiratory colonisation. Copyright",

keywords = "Community-acquired pneumonia, Population-based study, Risk factors",

author = "J. Almirall and I. Bol{\'i}bar and M. Serra-Prat and J. Roig and I. Hospital and E. Carandell and M. Agust{\'i} and P. Ayuso and A. Estela and A. Torres and {De Salas}, {J. M.} and J. Costa and M. Tristany and Grau, {M. J.} and S. Sancho and E. Miguel and M. Fradera and I. Ochoa and Castany, {M. J.} and A. Quilez and V. Marina and P. Subias and B. Jimeno and A. Bradnovich and M. Rodriguez and E. Ramon and A. Gardella and C. Gin{\'e}s and X. Mestres and A. Armada and J. Mallafr{\'e} and M. Roger and Gros, {M. T.} and N. Les and J. Joanola and J. Dom{\'e}nech and M. Bund{\'o} and M. Trilla and J. Massons and J. Montero and E. Zurilla and P. Tor{\'a}n and Aizpurua, {M. M.} and G. Lozano and J. Casals and J. Sorribes and D. Torrellas and Anglada, {J. L.L.} and J. Salabarnada and E. Sanz and F. Gorgas and A. Ribas and E. Fau and I. Pellicer and S. Morales and A. Casas and J. Bernad and {De Montoliu}, A. and J. Gaya and R. Vall{\'e}s and A. Vazquez and R. Peir{\'o} and G. Arest{\'e} and Mengual, {G. N.} and Vi{\~n}es, {M. C.} and E. Almerich and Lopez, {M. A.} and J. Bel and A. Gosalves and S. Macip and E. Carrillo and P. Paulo and M. Pol and J. Sala and P. Mir and P. Carrera and I. Legazpi and F. Planellas and A. Beltran and T. Planas and J. Rovira and {De Ciurana}, M. and C. Xargay and Cort{\'e}s, {R. B.} and J. Paredes and Olive, {J. G.} and P. Montoya and Burcet, {F. X.} and D. Alcantarilla and {De Ribot}, J. and Gorgot, {M. R.} and Bas, {R. A.} and Rosa, {M. B.} and J. Castells and Castillo, {J. A.} and Torrent, {J. C.} and D. Rodr{\'i}guez and X. Rius and M. Navarro and Benet, {J. M.} and Caballero, {J. C.} and J. Llach and J. Sanglas and V. Morales and J. Solanella and Cardona, {J. I.} and J. Ferrer and Sol{\'i}s, {M. J.} and F. G{\"u}erri and Murillo, {M. J.} and Llovet, {M. D.} and I. Guinea and Ju{\'a}reztarrag, {M. M.} and M. Alvarez and J. Blad{\'e} and {S{\'a}nchez Or{\'o}}, I. and F. Martin and Cabr{\'e}, {J. J.} and J. Frigola and J. Boj and A. Chacon and E. Satu{\'e} and F. Gallego and D. Montany{\'e}s and T. Basora and E. Martin and P. Gil and M. Rosell{\'o} and J. Marimon and B. Costa and C. Guti{\'e}rrez and E. Molt{\'o} and A. Isach and N. Izzeddin and M. Campani and J. Ferr{\'e} and A. Fern{\'a}ndez and J. Jov{\'e} and J. Vilalta and E. Ribera and M. Fern{\'a}ndez and O. Ochoa and {Vila Palacios}, A. and A. Donado-Mazarr{\'o}n and C. Ramon and R. Caballol and L. Navarro and J. Masqu{\'e} and Llor, {L. L.} and G. Garcia and Arasa, {M. J.} and A. Yoldi and I. Viloria and F. Vallespi and Clua, {J. L.L.} and Basart, {J. M.} and E. Ciurana and Monclus, {J. F.} and A. Casanovas and L. Vi{\~n}as and E. Checa and J. Marin and J. Santigosa and F. Arayo and C. Campillos and A. Juarez and J. Perez and E. Paredes and J. Rodriguez and Y. Sol{\`a} and J. Pujol and Navarro, {M. A.} and I. Casado and M. Madrid and J. Berdi{\'e} and Andr{\'e}s, {M. J.} and B. Barragan and A. Torras and S. Gonzalez and A. Fuentes and {El Hosn-Makarem}, {J. A.} and F. Pelaez and A. Ubieto and A. Fallada and A. Josa and E. Fav{\`a} and M. Ros and M. Alonso and Pinazo, {M. J.} and S. Borr{\'a}s and C. Nolla and J. Bitri{\`a} and O. Araujo and A. Collado and T. Glaria and Montero, {J. C.} and P. Flores and P. Serra and E. Torrellas and I. Buxad{\'e} and J. Mussoll and M. Gomez and C. Serrano and M. Pubill and J. Gost and E. Burdoy and Busquets, {L. L.} and {De Castro}, S. and M. Bartolom{\'e} and E. Corona and R. Valverde and Y. Verde and M. Alegre and M. Papiol and O. Mart{\'i} and M. Catal{\'a} and Martinez, {M. A.} and E. Diaz and A. Borr{\'a}s and F. Aznar and F. Riera and I. Colom and E. Calvet and J. Nicol{\'a}s and J. Ruiz and C. Mateu and J. Arranz and A. F{\'e} and B. Puig and M. Guti{\'e}rrez and Morant, {L. L.} and M. Llull and J. Estelrich and L. Quintana and C. Llabr{\'e}s and Sureda, {M. M.} and L. Cuevas and Y. Mu{\~n}oz and J. Llobera and M. I{\~n}iguez and J. Guasch and F. S{\'a}nchez and J. Pascual and A. Castell{\'o} and G{\'o}mez, {L. L.} and P. Marin and C. Garcia and P. Moreno and M. Coll and C. Palma and C. Ribera and J. Aldosa and C. Alonso and A. Berg{\'e}s and J. Burgu{\'e}s and Burgu{\'e}s, {L. L.} and J. Busquets and D. Casal and N. Cerd{\'a}n and X. Crespo and R. Duat and J. Escoda and M. Fiter and A. Font and M. Fraysse and S. Fuentes and R. Garc{\'i}a-N{\'u}{\~n}ez and T. L{\'o}pez-Pinacho and M. Masardo and J. Mart{\'i}nez-Illescas and P. Morisset and M. Pallar{\'e}s and R. P{\'e}rez-Serra and A. Pl{\`a} and E. Pons and A. Ruiz and Rodr{\'i}guez-Picart, {J. C.} and J. S{\'a}nchez-Claver and E. Sylvestre and R. Tolosa and Touceda, {J. A.} and Varela, {J. R.} and Vidal, {J. C.}",

year = "2008",

month = jun,

doi = "10.1183/09031936.00095807",

language = "English",

volume = "31",

pages = "1274--1284",

journal = "European Respiratory Journal",

issn = "0903-1936",

publisher = "European Respiratory Society",

number = "6",

}

Almirall, J, Bolíbar, I, Serra-Prat, M, Roig, J, Hospital, I, Carandell, E, Agustí, M, Ayuso, P, Estela, A, Torres, A, De Salas, JM, Costa, J, Tristany, M, Grau, MJ, Sancho, S, Miguel, E, Fradera, M, Ochoa, I, Castany, MJ, Quilez, A, Marina, V, Subias, P, Jimeno, B, Bradnovich, A, Rodriguez, M, Ramon, E, Gardella, A, Ginés, C, Mestres, X, Armada, A, Mallafré, J, Roger, M, Gros, MT, Les, N, Joanola, J, Doménech, J, Bundó, M, Trilla, M, Massons, J, Montero, J, Zurilla, E, Torán, P, Aizpurua, MM, Lozano, G, Casals, J, Sorribes, J, Torrellas, D, Anglada, JLL, Salabarnada, J, Sanz, E, Gorgas, F, Ribas, A, Fau, E, Pellicer, I, Morales, S, Casas, A, Bernad, J, De Montoliu, A, Gaya, J, Vallés, R, Vazquez, A, Peiró, R, Aresté, G, Mengual, GN, Viñes, MC, Almerich, E, Lopez, MA, Bel, J, Gosalves, A, Macip, S, Carrillo, E, Paulo, P, Pol, M, Sala, J, Mir, P, Carrera, P, Legazpi, I, Planellas, F, Beltran, A, Planas, T, Rovira, J, De Ciurana, M, Xargay, C, Cortés, RB, Paredes, J, Olive, JG, Montoya, P, Burcet, FX, Alcantarilla, D, De Ribot, J, Gorgot, MR, Bas, RA, Rosa, MB, Castells, J, Castillo, JA, Torrent, JC, Rodríguez, D, Rius, X, Navarro, M, Benet, JM, Caballero, JC, Llach, J, Sanglas, J, Morales, V, Solanella, J, Cardona, JI, Ferrer, J, Solís, MJ, Güerri, F, Murillo, MJ, Llovet, MD, Guinea, I, Juáreztarrag, MM, Alvarez, M, Bladé, J, Sánchez Oró, I, Martin, F, Cabré, JJ, Frigola, J, Boj, J, Chacon, A, Satué, E, Gallego, F, Montanyés, D, Basora, T, Martin, E, Gil, P, Roselló, M, Marimon, J, Costa, B, Gutiérrez, C, Moltó, E, Isach, A, Izzeddin, N, Campani, M, Ferré, J, Fernández, A, Jové, J, Vilalta, J, Ribera, E, Fernández, M, Ochoa, O, Vila Palacios, A, Donado-Mazarrón, A, Ramon, C, Caballol, R, Navarro, L, Masqué, J, Llor, LL, Garcia, G, Arasa, MJ, Yoldi, A, Viloria, I, Vallespi, F, Clua, JLL, Basart, JM, Ciurana, E, Monclus, JF, Casanovas, A, Viñas, L, Checa, E, Marin, J, Santigosa, J, Arayo, F, Campillos, C, Juarez, A, Perez, J, Paredes, E, Rodriguez, J, Solà, Y, Pujol, J, Navarro, MA, Casado, I, Madrid, M, Berdié, J, Andrés, MJ, Barragan, B, Torras, A, Gonzalez, S, Fuentes, A, El Hosn-Makarem, JA, Pelaez, F, Ubieto, A, Fallada, A, Josa, A, Favà, E, Ros, M, Alonso, M, Pinazo, MJ, Borrás, S, Nolla, C, Bitrià, J, Araujo, O, Collado, A, Glaria, T, Montero, JC, Flores, P, Serra, P, Torrellas, E, Buxadé, I, Mussoll, J, Gomez, M, Serrano, C, Pubill, M, Gost, J, Burdoy, E, Busquets, LL, De Castro, S, Bartolomé, M, Corona, E, Valverde, R, Verde, Y, Alegre, M, Papiol, M, Martí, O, Catalá, M, Martinez, MA, Diaz, E, Borrás, A, Aznar, F, Riera, F, Colom, I, Calvet, E, Nicolás, J, Ruiz, J, Mateu, C, Arranz, J, Fé, A, Puig, B, Gutiérrez, M, Morant, LL, Llull, M, Estelrich, J, Quintana, L, Llabrés, C, Sureda, MM, Cuevas, L, Muñoz, Y, Llobera, J, Iñiguez, M, Guasch, J, Sánchez, F, Pascual, J, Castelló, A, Gómez, LL, Marin, P, Garcia, C, Moreno, P, Coll, M, Palma, C, Ribera, C, Aldosa, J, Alonso, C, Bergés, A, Burgués, J, Burgués, LL, Busquets, J, Casal, D, Cerdán, N, Crespo, X, Duat, R, Escoda, J, Fiter, M, Font, A, Fraysse, M, Fuentes, S, García-Núñez, R, López-Pinacho, T, Masardo, M, Martínez-Illescas, J, Morisset, P, Pallarés, M, Pérez-Serra, R, Plà, A, Pons, E, Ruiz, A, Rodríguez-Picart, JC, Sánchez-Claver, J, Sylvestre, E, Tolosa, R, Touceda, JA, Varela, JR & Vidal, JC 2008, 'New evidence of risk factors for community-acquired pneumonia: A population-based study', European Respiratory Journal, vol. 31, n.º 6, pp. 1274-1284. https://doi.org/10.1183/09031936.00095807

TY - JOUR

T1 - New evidence of risk factors for community-acquired pneumonia

T2 - A population-based study

AU - Almirall, J.

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PY - 2008/6

Y1 - 2008/6

N2 - The aim of the present study was to identify risk factors for community-acquired pneumonia (CAP), with special emphasis on modifiable risk factors and those applicable to the general population. A population-based, case-control study was conducted, with a target population of 859,033 inhabitants aged >14 yrs. A total of 1,336 patients with confirmed CAP were matched to control subjects by age, sex and primary centre over 1 yr. In the univariate analysis, outstanding risk factors were passive smoking in never-smokers aged >65 yrs, heavy alcohol intake, contact with pets, households with >10 people, contact with children, interventions on the upper airways and poor dental health. Risky treatments included amiodarone, N-acetylcysteine and oral steroids. Influenza and pneumococcal vaccine, and visiting the dentist were protective factors. Multivariable analysis confirmed cigarette smoking, usual contact with children, sudden changes of temperature at work, inhalation therapy (particularly containing steroids and using plastic pear-spacers), oxygen therapy, asthma and chronic bronchitis as independent risk factors. Interventions for reducing community-acquired pneumonia should integrate health habits and lifestyle factors related to household, work and community, together with individual clinical conditions, comorbidities and oral or inhaled regular treatments. Prevention would include vaccination, dental hygiene and avoidance of upper respiratory colonisation. Copyright

AB - The aim of the present study was to identify risk factors for community-acquired pneumonia (CAP), with special emphasis on modifiable risk factors and those applicable to the general population. A population-based, case-control study was conducted, with a target population of 859,033 inhabitants aged >14 yrs. A total of 1,336 patients with confirmed CAP were matched to control subjects by age, sex and primary centre over 1 yr. In the univariate analysis, outstanding risk factors were passive smoking in never-smokers aged >65 yrs, heavy alcohol intake, contact with pets, households with >10 people, contact with children, interventions on the upper airways and poor dental health. Risky treatments included amiodarone, N-acetylcysteine and oral steroids. Influenza and pneumococcal vaccine, and visiting the dentist were protective factors. Multivariable analysis confirmed cigarette smoking, usual contact with children, sudden changes of temperature at work, inhalation therapy (particularly containing steroids and using plastic pear-spacers), oxygen therapy, asthma and chronic bronchitis as independent risk factors. Interventions for reducing community-acquired pneumonia should integrate health habits and lifestyle factors related to household, work and community, together with individual clinical conditions, comorbidities and oral or inhaled regular treatments. Prevention would include vaccination, dental hygiene and avoidance of upper respiratory colonisation. Copyright

KW - Community-acquired pneumonia

KW - Population-based study

KW - Risk factors

UR - http://www.scopus.com/inward/record.url?scp=49649096400&partnerID=8YFLogxK

U2 - 10.1183/09031936.00095807

DO - 10.1183/09031936.00095807

M3 - Article

C2 - 18216057

AN - SCOPUS:49649096400

SN - 0903-1936

VL - 31

SP - 1274

EP - 1284

JO - European Respiratory Journal

JF - European Respiratory Journal

IS - 6

ER -

New evidence of risk factors for community-acquired pneumonia: A population-based study

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