title: [Prognostic factors of Pneumocystis carinii pneumonia in AIDS].
abstract: OBJECTIVE
  Identify prognosis factors in Pneumocystis carinii pneumonia at diagnosis and construct a model to predict mortality according to these prognosis factors.
  
  
  METHODS
  Seventy-seven consecutive cases of proven AIDS-related Pneumocystis carinii pneumonia (67 men, 10 women, mean age 37.2 years) were reviewed to determine the most accurate initial prognostic factors and estimate an individual prediction of death. A stepwise logistic regression analysis was performed. Three kinds of data were entered into the logistic model: historical data, clinical and laboratory data obtained within the first 24 hours of diagnosis, and specific data related to chest X-ray and bronchoalveolar lavage results.
  
  
  RESULTS
  The sum of arterial partial pressure of oxygen and carbon dioxide (PaO2 + PaCO2) and serum albumin level best predicted a fatal outcome in multivariate analysis.
  
  
  CONCLUSIONS
  The logistic equation provided by the model might be used to accurately and quickly identify the patients with severe Pneumocystis carinii pneumonia who might benefit from supportive intensive care.
authors.affiliation: Département de Maladies infectieuses et tropicales, CHU de Nancy.
authors.forename: B
authors.initials: B
authors.lastname: Hoen
authors.forename: J F
authors.initials: JF
authors.lastname: Viel
authors.forename: M
authors.initials: M
authors.lastname: Maignan
authors.forename: L
authors.initials: L
authors.lastname: Hennequin
authors.forename: T
authors.initials: T
authors.lastname: May
authors.forename: C
authors.initials: C
authors.lastname: Amiel
authors.forename: L
authors.initials: L
authors.lastname: Kures
authors.forename: P
authors.initials: P
authors.lastname: Canton
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000097:blood / Q000382:microbiology / Q000401:mortality*; D000328:Adult; D000368:Aged; D001784:Blood Gas Analysis; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011020:Pneumonia, Pneumocystis / Q000097:blood / Q000382:microbiology / Q000401:mortality*; D011237:Predictive Value of Tests; D011379:Prognosis; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D012709:Serum Albumin / Q000032:analysis
chemical_list: D012709:Serum Albumin
vernacular_title: Facteurs pronostiques de la pneumocystose au cours du SIDA.