title: [Evaluation of the impact of community-acquired pneumonia on short-term and long-term prognosis in a patient with chronic decompensated heart failure].
abstract: OBJECTIVE
  To evaluate the impact of community-acquired pneumonia (CAP) on short-term and long-term prognosis in patients hospitalized with signs of chronic decompensated heart failure (CDHF).
  
  
  METHODS
  A total of 852 cases were admitted to therapy/cardiology hospital with signs of CDHF during a year.
  
  
  RESULTS
  Among the patients hospitalized with signs of CDHF, the prevalence of CAP was 16.5%. This indicator did not depend on the age of hospitalized patients. Among the multisystem disorders, hypertension, different forms of coronary heart disease, diabetes mellitus, and chronic obstructive pulmonary disease were more common in the patients with CAP. The presence of the latter in a patient with CDHF statistically significantly increased the length of hospital stay (13.1 versus 11.9 days; p = 0.009) and also the probability of rehospitalization during a year (odds ratio (OR) 1.9; p = 0.02). The presence of CAP in a patient with CDHF resulted in an increase in mortality rates (OR 13.5; p < 0.001); moreover, the highest risk of a fatal outcome was noted on day 1 of hospitalization (12.7%). During one-year follow-up, the risk of death in patients hospitalized with CDHF and concomitant pneumonia proved to be higher (OR 4.8; p < 0.001) than in those without pneumonia.
authors.affiliation: Nizhny Novgorod State Medical Academy, Ministry of Health of Russia, Nizhny Novgorod, Russia.
authors.forename: D S
authors.initials: DS
authors.lastname: Polyakov
authors.affiliation: Nizhny Novgorod State Medical Academy, Ministry of Health of Russia, Nizhny Novgorod, Russia.
authors.forename: I V
authors.initials: IV
authors.lastname: Fomin
authors.affiliation: Nizhny Novgorod State Medical Academy, Ministry of Health of Russia, Nizhny Novgorod, Russia.
authors.forename: F Yu
authors.initials: FY
authors.lastname: Valikulova
authors.affiliation: Nizhny Novgorod State Medical Academy, Ministry of Health of Russia, Nizhny Novgorod, Russia.
authors.forename: A R
authors.initials: AR
authors.lastname: Vaisberg
authors.affiliation: Nizhny Novgorod State Medical Academy, Ministry of Health of Russia, Nizhny Novgorod, Russia.
authors.forename: N
authors.initials: N
authors.lastname: Kraiem
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017714:Community-Acquired Infections / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D015897:Comorbidity; D018450:Disease Progression; D005260:Female; D006333:Heart Failure / Q000150:complications / Q000175:diagnosis / Q000401:mortality; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data; D011014:Pneumonia / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D015995:Prevalence; D011379:Prognosis; D012307:Risk Factors; D012426:Russia / Q000453:epidemiology; D013223:Statistics as Topic; D013995:Time