Features of clinical course of the community-acquired pneumonia in patients with chronic respiratory diseases
With purposes of revealing features of the community-acquired pneumonia (CAP) on the ground of chronic respiratory diseases, its early and late outcomes "case-control" study was performed. Main group included 143 CAP patients with pathology of the respiratory organs, control group included 129 CAP patients without chronic respiratory diseases coincided with main group by gender, age and chronic concomitant pathology of the others systems. It was established CAP of the main group more frequently was presented with productive cough (62,9% vs 50,4%) and dyspnea (69,9% vs 45,5%), objective signs of the bronchial obstruction which occulted signs of the CAP, leukocytosis (28,7% vs 16,3%), bilateral injury of the lungs (25,5% vs 15,5%) and more severe respiratory failure (86,0% vs 55,1%). Differences of death risk assessment with CRB-65 and PSI scores, duration of hospitalization, dynamics of recovering, early and late outcomes of CAP were not revealed.