ANALYSIS OF THE INFLUENCE OF COMMUNITY-ACQUIRED PNEUMONIA ON EMERGENCY COMORBID TREATMENT OF PATIENTS WITH METABOLIC SYNDROME USING THE MEDICAL INFORMATION SYSTEM «PROMED»

The purpose of the study - to analyze the influence of community-acquired pneumonia (CAP) against the background of metabolic syndrome (MS) on seeking emergency and urgent medical care for comorbid pneumonia diseases.Material and methods. The study included 120 patients hospitalized and discharged with community-acquired bacterialpneumonia. All patients were screened for MS. Patients in the CAP and CAP + MS groups were comparable in age (50±13 and56±13 years old) and gender (men / women - 50/50% and 43/57%, respectively). The observation was carried out for 1 year remotely using the regional medical information analytical system «ProMed». The time from the moment of discharge from the hospital tothe first call by the patient of an ambulance (EMS), the first emergency hospitalization was estimated.Results. In patients with MS after undergoing CAP, there is a shorter time than in patients without MS, before the first emergency call. The median was 202 days, without MS - 252 days (p = 0.03). The differences between the groups in time to the first call to EMS were statistically significant. Patients with MS have less time before the first emergency hospitalization after CAP. The median was 17 days, without MS - 252 days (p = 0.0006). Differences in time to first emergency hospitalization between groups were confirmed to be significant. The presence of MS affects the growth of emergency calls after pneumonia. An increase in the number of emergency hospitalizations after CAP is observed regardless of the presence of MS without a significant difference between the groups. After pneumonia in patients with MS, there is a significantly greater number of emergency calls due to respiratory diseases in general (compared with patients without MS), a significantly greater number of emergency hospitalizations due to diseases of the circulatory system as a whole.Conclusion. After CAP, patients with MS have an increased likelihood of seeking emergency medical services and emergency hospitalization in general. Postponed pneumonia leads to accelerated development of acute and exacerbations of chronic diseases in patients with MS.

community-acquired pneumonia, metabolic syndrome

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