Improvements in outcomes of acute respiratory failure for patients with human immunodeficiency virus-related Pneumocystis carinii pneumonia

In the early 1990s, hospital survival among patients with human immunodeficiency virus (HIV)-related Pneumocystis carinii pneumonia (PCP) and respiratory failure was poor, approximately 20%. We examined ICU use and outcomes for patients with acute respiratory failure from PCP from 1995 to 1997. We c...

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Bibliographic Details
Published in:American journal of respiratory and critical care medicine 2000-08, Vol.162 (2), p.393-398
Main Authors: CURTIS, J. R, YARNOLD, P. R, SCHWARTZ, D. N, WEINSTEIN, R. A, BENNETT, C. L
Format: Article
Language:English
Subjects:
Acute Disease
AIDS-Related Opportunistic Infections - complications
AIDS/HIV
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Emergency and intensive respiratory care
Female
Humans
Intensive care medicine
Male
Medical sciences
Pneumonia, Pneumocystis - complications
Pneumonia, Pneumocystis - therapy
Prognosis
Random Allocation
Respiration, Artificial
Respiratory Insufficiency - etiology
Respiratory Insufficiency - mortality
Respiratory Insufficiency - therapy
Retrospective Studies
Treatment Outcome
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Summary:In the early 1990s, hospital survival among patients with human immunodeficiency virus (HIV)-related Pneumocystis carinii pneumonia (PCP) and respiratory failure was poor, approximately 20%. We examined ICU use and outcomes for patients with acute respiratory failure from PCP from 1995 to 1997. We conducted a retrospective medical record review using a random sample of 71 hospitals in seven regions of the United States. Among 1,660 patients with confirmed or presumed PCP, 155 (9%) received mechanical ventilation for respiratory failure. Factors that predicted use of mechanical ventilation, independent of severity of illness on hospital admission, included African-American ethnicity and geographic location (p
ISSN:1073-449X
1535-4970
DOI:10.1164/ajrccm.162.2.9909014