WANG Peng 1 , HU Zhenli 2 , QIAN Yechang 3 , ZHANG Guoqing 4 , LI Xingjing 1 , BAI Chong 2
  • 1. Department of Respiratory Medicine, Baoshan Branch of Shanghai First People’s Hospital, Shanghai Jiao Tong University, Shanghai 200940, P. R. China;
  • 2. Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of the Naval Medical University, Changhai Hospital, Shanghai 200433, P. R. China;
  • 3. Department of Respiratory Medicine, Baoshan Integrated Traditional Chinese and Western Medicine Hospital, Shanghai 201900, P. R. China;
  • 4. Department of Respiratory and Critical Care Medicine, Shanghai First People’s Hospital, Shanghai Jiao Tong University, Shanghai 200080, P. R. China;
BAI Chong, Email: bc7878@sohu.com
Community-acquired pneumonia; Initial treatment period; Tracheoscopy intervention; Burden of disease
10.7507/1671-6205.201905067
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Objective To explore the efficacy of community-acquired pneumonia (CAP) by tracheoscopy intervention altimeter and analyze and compare its financial burden.Methods Retrospective analysis of 419 hospitalized patients with CAP was carried in respiratory medicine department of four hospitals from July 1, 2017 to August 31, 2018 (Changhai Hospital, Shanghai First People’s Hospital, Baoshan Branch of Shanghai First People’s Hospital, and Baoshan Integrated Traditional Chinese and Western Medicine Hospital). According to the time of tracheoscopy intervention treatment, they were divided into 3 groups: 127 patients treated with tracheoscopy intervention during the initial treatment period (within 72 h after obtaining imaging diagnosis) were included in an early intervention group, 158 patients treated with tracheoscopy intervention 72 h after obtaining imaging diagnosis were included in a medium-term intervention group, and 134 patients treated without tracheoscopy intervention were included in a non-intervention group. The total efficiency of treatment, improvement of clinical symptoms, imaging absorption, serum inflammation index level, sputum culture positive rate, change rate, efficiency after drug change, hospital stay and hospitalization cost were compared among three groups.Results The total efficiency of treatment in the early intervention group was higher than that of the medium-term intervention group and the non-intervention group, with statistically significant difference (P<0.05), and the time of normality of body temperature, the time of disappearance of strong sputum and cough in the early intervention group, the absorption time of chest X-rays were shorter than that of the medium-term intervention group and the non-intervention group, and the difference was statistically significant (P<0.05); peripheral blood hemoglobin, serum calcitonin and hypersensitive C reactive protein levels were lower than those in the medium-term intervention group and the non-intervention group, with statistically significant differences (P<0.05), and the sputum-positive and drug-change rates in the early intervention group and the medium-term intervention group were higher than those in the non-intervention group, and the difference was statistically significant (P<0.05); the duration of hospital stay in the early intervention group was shorter than that of the medium-term intervention group and the non-intervention group, and the cost of hospitalization was less than that of the medium-term intervention group and the non-intervention group, and the difference was statistically significant (P<0.05).Conclusion Tracheoscopy intervention treatment in the initial period of CAP not only significantly improves the efficacy, but also significantly reduces treatment costs and length of hospitalization, hence it is worth clinical promotion.

Citation： WANG Peng, HU Zhenli, QIAN Yechang, ZHANG Guoqing, LI Xingjing, BAI Chong. Comparison of efficacy and disease burden of tracheoscopy intervention in the initial treatment stage of community-acquired pneumonia in four hospitals. Chinese Journal of Respiratory and Critical Care Medicine, 2020, 19(4): 337-341. doi: 10.7507/1671-6205.201905067 Copy

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