PubTransformer

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PMID- 28502330
OWN - NLM
STAT- MEDLINE
DA  - 20170515
DCOM- 20170615
LR  - 20170615
IS  - 1538-2990 (Electronic)
IS  - 0002-9629 (Linking)
VI  - 353
IP  - 5
DP  - 2017 May
TI  - Three Decades of Follow-up of Adults After Recovery From Invasive Pneumococcal
      Pneumonia.
PG  - 445-451
LID - S0002-9629(17)30127-1 [pii]
LID - 10.1016/j.amjms.2017.03.002 [doi]
AB  - BACKGROUND: Streptococcus pneumoniae infection is the most common cause of
      community-acquired pneumonia in adults. Invasive pneumococcal disease (IPD)
      carries a high case fatality rate. We investigated the lifespan of adults who
      recovered from IPD during a 32-year follow-up. MATERIALS AND METHODS: We
      determined whether adults discharged after an episode of IPD from hospitals
      affiliated with the Marshall University Joan C. Edwards School of Medicine in
      Huntington, West Virginia from 1983-2003 were alive on June 30, 2014. Lifespan
      was assessed by Kaplan-Meier methodology, Cox proportional hazards multivariate
      analysis, life expectancy using life tables for West Virginia, years of potential
      life lost and serotype occurrence. RESULTS: The study group comprised 155 adults 
      who survived IPD. They had a mean age at discharge of 64.6 years, mean lifespan
      after IPD of 7.1 years, mean expected lifespan after IPD of 17.0 years, mean age 
      at death of 71.6 years and a mean life expectancy of 81.6 years. Only 14 (9.0%)
      patients lived longer than their life expectancy. Of the 13 comorbid diseases
      analyzed, cancer and neurologic diseases and the number of comorbid diseases
      suffered by each patient were the significant variables associated with survival.
      The mean years of potential life lost was 9.936 years. Only serotype 12 of 31
      serotypes recovered occurred more often in patients who survived for 11 or more
      years after discharge (relative risk = 3.44, 95% CI: 1.19-9.95). CONCLUSIONS: The
      fact that most adult patients who recovered from IPD died before their documented
      life expectancy argues for the pernicious severity of IPD and the importance of
      immunization of adults with pneumococcal vaccines.
CI  - Copyright (c) 2017 Southern Society for Clinical Investigation. Published by
      Elsevier Inc. All rights reserved.
FAU - Ajayi, Oluwadamilare O
AU  - Ajayi OO
AD  - Department of Medicine, Marshall University Joan C. Edwards School of Medicine,
      Huntington, West Virginia.
FAU - Norton, Nancy B
AU  - Norton NB
AD  - Department of Pathology, Marshall University Joan C. Edwards School of Medicine, 
      Byrd Biotechnology and Science Center, Huntington, West Virginia.
FAU - Gress, Todd W
AU  - Gress TW
AD  - Department of Medicine, Marshall University Joan C. Edwards School of Medicine,
      Huntington, West Virginia.
FAU - Stanek, Ronald J
AU  - Stanek RJ
AD  - Department of Medicine, Marshall University Joan C. Edwards School of Medicine,
      Huntington, West Virginia; Veterans Administration Medical Center, Huntington,
      West Virginia.
FAU - Mufson, Maurice A
AU  - Mufson MA
AD  - Department of Medicine, Marshall University Joan C. Edwards School of Medicine,
      Huntington, West Virginia; Veterans Administration Medical Center, Huntington,
      West Virginia. Electronic address: [email protected]
LA  - eng
PT  - Journal Article
DEP - 20170306
PL  - United States
TA  - Am J Med Sci
JT  - The American journal of the medical sciences
JID - 0370506
SB  - AIM
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - *Longevity
MH  - Male
MH  - Middle Aged
MH  - Pneumonia, Pneumococcal/microbiology/*mortality
MH  - West Virginia/epidemiology
MH  - Young Adult
OTO - NOTNLM
OT  - Invasive pneumococcal infection
OT  - Life expectancy
OT  - Pneumonia
OT  - Streptococcus pneumoniae
OT  - Years of potential life lost
EDAT- 2017/05/16 06:00
MHDA- 2017/06/16 06:00
CRDT- 2017/05/16 06:00
PHST- 2016/11/07 [received]
PHST- 2017/01/24 [revised]
PHST- 2017/03/02 [accepted]
AID - S0002-9629(17)30127-1 [pii]
AID - 10.1016/j.amjms.2017.03.002 [doi]
PST - ppublish
SO  - Am J Med Sci. 2017 May;353(5):445-451. doi: 10.1016/j.amjms.2017.03.002. Epub
      2017 Mar 6.