https://scholars.lib.ntu.edu.tw/handle/123456789/579294
Title: | Tuberculosis mortality: Patient characteristics and causes | Authors: | Lin C.-H. Lin C.-J. YAO-WEN KUO JANN-YUAN WANG CHIA-LIN HSU JONG-MIN CHEN WERN-CHERNG CHENG LI-NA LEE |
Issue Date: | 2014 | Journal Volume: | 14 | Journal Issue: | 1 | Start page/Pages: | 5 | Source: | BMC Infectious Diseases | Abstract: | Background: In the antibiotic era, tuberculosis (TB) still causes a substantial number of mortalities. We aimed to identify the causes and risks of death among TB patients.Methods: Medical records of mortality cases of culture-proven TB diagnosed during 2003-2007 were reviewed. All TB deaths were classified into 2 groups (TB-related and non-TB-related), based on the underlying cause of death.Results: During the study period, 2016 cases (male: 71.1%) of culture-proven TB were identified. The mean age was 59.3 (range: 0.3-96) years. The overall mortality rate was 12.3% (249 cases) and the mean age at death was 74 years; 17.3% (43 cases) of all TB deaths were TB-related. Most of the TB-related deaths occurred early (median survival: 20 days), and the patient died of septic shock. Malignancy, liver cirrhosis, renal failure, and miliary and pneumonic radiographic patterns were all independent predictors for all TB deaths. Cavitary, miliary and pneumonic radiographic patterns were all significant predictive factors for TB-related death. Extrapulmonary involvement and liver cirrhosis were also factors contributing to TB-related death.Conclusions: The majority of TB deaths were ascribed to non-TB-related causes. Managing TB as well as underlying comorbidities in a multidisciplinary approach is essential to improve the outcome of patients in an aging population. However, the clinical manifestations of patients with TB-related death vary; many progressed to fulminant septic shock requiring timely recognition with prompt treatment to prevent early death. ? 2014 Lin et al.; licensee BioMed Central Ltd. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84892183997&doi=10.1186%2f1471-2334-14-5&partnerID=40&md5=6db47a2d1f435b68ecf882f8583d2a35 https://scholars.lib.ntu.edu.tw/handle/123456789/579294 |
ISSN: | 1471-2334 | DOI: | 10.1186/1471-2334-14-5 | SDG/Keyword: | acquired immune deficiency syndrome; adult; aged; article; autoimmune disease; bacterial infection; cardiovascular disease; cause of death; cerebrovascular accident; chronic obstructive lung disease; clinical feature; comorbidity; controlled study; extrapulmonary tuberculosis; female; human; Human immunodeficiency virus; kidney failure; liver cirrhosis; liver failure; major clinical study; male; miliary tuberculosis; mortality; pneumonia; predictor variable; respiratory failure; risk assessment; risk factor; septic shock; survival rate; Taiwan; tuberculosis; adolescent; child; epidemiology; infant; middle aged; preschool child; tuberculosis; very elderly; young adult; Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Comorbidity; Female; Humans; Infant; Male; Middle Aged; Risk Factors; Taiwan; Tuberculosis; Young Adult |
Appears in Collections: | 醫學系 |
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