doi: 10.3389/fmed.2023.1236142.
eCollection 2023.
Is the long-term mortality similar in COVID-19 and community-acquired pneumonia?
Raúl Méndez
1
2
3
4
, Paula González-Jiménez
1
2
4
, Ana Latorre
2
, Noé Mengot
1
2
, Rafael Zalacain
5
, Luis A Ruiz
5
6
, Leyre Serrano
5
6
, Pedro P España
7
, Ane Uranga
7
, Catia Cillóniz
8
9
10
, David Hervás
11
12
, Antoni Torres
3
8
10
13
, Rosario Menéndez
1
2
3
4
; NEUMONAC; RECOVID; Pedro Pablo España
1
2
3
4
5
6
7
8
9
10
11
12
13
, Luis Borderías
1
2
3
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, Olga Rajas
1
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5
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, Jordi Almirall
1
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9
10
11
12
13
, Rafael Zalacaín
1
2
3
4
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9
10
11
12
13
, Montserrat Vendrell
1
2
3
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8
9
10
11
12
13
, Salvador Bello
1
2
3
4
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6
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8
9
10
11
12
13
, Isabel Mir
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2
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12
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, Concepción Morales
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, Luis Molinos
1
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11
12
13
, Ricard Ferrer
1
2
3
4
5
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12
13
, MªLuisa Briones
1
2
3
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11
12
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, Rosa Malo
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, Itxaso Sayago Reza
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10
11
12
13
, Wanda Almonte Batista
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, Laura Moreno Galarraga
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, Oriol Sibila Vidal
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11
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, Juan Luis Rodríguez Hermosa
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12
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, Gianna Vargas Centanaro
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, Blanca de Vega Sánchez
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, Eduardo Solís García
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, Ester Rodríguez Florez
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, María José
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, Chourio Estaba
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, María Molina Molina
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, Jaume Bordas
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, María Estela González Castro
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, Diana Badenes Bonet
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, Marisol Domínguez Álvarez
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, Eli N Pérez-Rodas
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, Alejandra Marín Arguedas
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, Berta Román Bernal
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, Graciliano Estrada Trigueros
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, Selene Cuenca Peris
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, Margarita Martín Royo
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, Miguel Torres García
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, José Portillo Sánchez
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, Francisca Lerenas Bernal
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, María Salome Ros Braquehais
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, José Alfonso García Guerra
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, María Dolores Martínez Pitarch
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, Iván Arroyo Fernández
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, Virginia Guevara Velázquez
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, Pilar Martínez Olondris
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, Marco Francisco Pereyra Barrionuevo
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, Javier Lázaro Sierra
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, Paloma Clavería
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, Aurelio Luis Wangüemert Pérez
1
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, José Joel Ruiz Lacambra
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, Noelia Fernández Ramos
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, Sara Guanche Dorta
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, Abigail Macias Paredes
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, David de la Rosa Carrillo
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, Esther Palones Femenia
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, Inés Podzamczer Valls
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, Patricia Peñacoba Toribio
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, Pilar Muñoz Zara
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, Rocío García García
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, María Del Mar Marrube Fernández
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, Laura Villar Aguilar
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, Santiago de Jorge Domínguez Pazos
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, Tara Pereiro Brea
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, Ana Pando-Sandoval
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, Marta María García Clemente
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, Amelia Alzueta Álvarez
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, Estela García Coya
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, Elizabeth de Freitas González
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, Pedro Pablo España Yandiola
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, Ane Uranga
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, Beatriz Raboso Moreno
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, Carolina Panadero
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, Araceli Abad
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, Irene Cano
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, Iria Pérez Orbis
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, Carolina Gotera Rivera
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, Celia Ruiz Pérez
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, Rosario Menéndez Villanueva
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, Raúl Méndez
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, Ana Latorre
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, Paula González
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, Teresa Ramírez Prieto
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, Miguel Ángel Salvador Maya
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, Claudia Valenzuela
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, José M Cifrián Martínez
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, Juan Marco Figueira Gonçalves
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, Adrián Baeza Ruiz
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, Andrea Expósito Marrero
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, Nikita Gurbani
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, Rosa Malo de Molina Ruiz
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, Marina Galdeano Lozano
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, Manuel Villanueva Montes
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, Nuria Toledo Pons
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, Luisa Ramón Clar
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, Alba Esperanza Barrios
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, Pilar Cejudo Ramos
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, Cecilia López Ramírez
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, Mirella Gaboli
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, Virginia Almadana Pacheco
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, Ferran Eduard Barbé Illa
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, Anna Clara
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, Nuria Gutiérrez González
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, Eva Cabrera César
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Affiliations
Affiliations
- 1 Pneumology Department, La Fe University and Polytechnic Hospital, Valencia, Spain.
- 2 Respiratory Infections, Health Research Institute La Fe (IISLAFE), Valencia, Spain.
- 3 Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
- 4 Department of Medicine, University of Valencia, Valencia, Spain.
- 5 Pneumology Department, Cruces University Hospital, Barakaldo, Spain.
- 6 Department of Immunology, Microbiology and Parasitology, Facultad de Medicina y Enfermería, Universidad del País Vasco/Euskal Herriko Unibertsitatea UPV/EHU, Leioa, Spain.
- 7 Pneumology Department, Galdakao-Usansolo Hospital, Galdacano, Spain.
- 8 Department of Medicine, University of Barcelona, Barcelona, Spain.
- 9 Faculty of Health Sciences, Continental University, Huancayo, Peru.
- 10 August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
- 11 Data Science, Biostatistics and Bioinformatics, Health Research Institute La Fe (IISLAFE), Valencia, Spain.
- 12 Department of Applied Statistics and Operational Research and Quality, Universitat Politècnica de València, Valencia, Spain.
- 13 Pneumology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
- PMID: 37886363
- PMCID: PMC10598770
- DOI: 10.3389/fmed.2023.1236142
Item in Clipboard
Is the long-term mortality similar in COVID-19 and community-acquired pneumonia?
Raúl Méndez et al.
Front Med (Lausanne).
.
Display options
Format
doi: 10.3389/fmed.2023.1236142.
eCollection 2023.
Authors
Raúl Méndez
1
2
3
4
, Paula González-Jiménez
1
2
4
, Ana Latorre
2
, Noé Mengot
1
2
, Rafael Zalacain
5
, Luis A Ruiz
5
6
, Leyre Serrano
5
6
, Pedro P España
7
, Ane Uranga
7
, Catia Cillóniz
8
9
10
, David Hervás
11
12
, Antoni Torres
3
8
10
13
, Rosario Menéndez
1
2
3
4
; NEUMONAC; RECOVID; Pedro Pablo España
1
2
3
4
5
6
7
8
9
10
11
12
13
, Luis Borderías
1
2
3
4
5
6
7
8
9
10
11
12
13
, Olga Rajas
1
2
3
4
5
6
7
8
9
10
11
12
13
, Jordi Almirall
1
2
3
4
5
6
7
8
9
10
11
12
13
, Rafael Zalacaín
1
2
3
4
5
6
7
8
9
10
11
12
13
, Montserrat Vendrell
1
2
3
4
5
6
7
8
9
10
11
12
13
, Salvador Bello
1
2
3
4
5
6
7
8
9
10
11
12
13
, Isabel Mir
1
2
3
4
5
6
7
8
9
10
11
12
13
, Concepción Morales
1
2
3
4
5
6
7
8
9
10
11
12
13
, Luis Molinos
1
2
3
4
5
6
7
8
9
10
11
12
13
, Ricard Ferrer
1
2
3
4
5
6
7
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9
10
11
12
13
, MªLuisa Briones
1
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3
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13
, Rosa Malo
1
2
3
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5
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10
11
12
13
, Itxaso Sayago Reza
1
2
3
4
5
6
7
8
9
10
11
12
13
, Wanda Almonte Batista
1
2
3
4
5
6
7
8
9
10
11
12
13
, Laura Moreno Galarraga
1
2
3
4
5
6
7
8
9
10
11
12
13
, Oriol Sibila Vidal
1
2
3
4
5
6
7
8
9
10
11
12
13
, Juan Luis Rodríguez Hermosa
1
2
3
4
5
6
7
8
9
10
11
12
13
, Gianna Vargas Centanaro
1
2
3
4
5
6
7
8
9
10
11
12
13
, Blanca de Vega Sánchez
1
2
3
4
5
6
7
8
9
10
11
12
13
, Eduardo Solís García
1
2
3
4
5
6
7
8
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10
11
12
13
, Ester Rodríguez Florez
1
2
3
4
5
6
7
8
9
10
11
12
13
, María José
1
2
3
4
5
6
7
8
9
10
11
12
13
, Chourio Estaba
1
2
3
4
5
6
7
8
9
10
11
12
13
, María Molina Molina
1
2
3
4
5
6
7
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9
10
11
12
13
, Jaume Bordas
1
2
3
4
5
6
7
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9
10
11
12
13
, María Estela González Castro
1
2
3
4
5
6
7
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9
10
11
12
13
, Diana Badenes Bonet
1
2
3
4
5
6
7
8
9
10
11
12
13
, Marisol Domínguez Álvarez
1
2
3
4
5
6
7
8
9
10
11
12
13
, Eli N Pérez-Rodas
1
2
3
4
5
6
7
8
9
10
11
12
13
, Alejandra Marín Arguedas
1
2
3
4
5
6
7
8
9
10
11
12
13
, Berta Román Bernal
1
2
3
4
5
6
7
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11
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13
, Graciliano Estrada Trigueros
1
2
3
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5
6
7
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9
10
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12
13
, Selene Cuenca Peris
1
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3
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5
6
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13
, Margarita Martín Royo
1
2
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, Miguel Torres García
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, José Portillo Sánchez
1
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, Francisca Lerenas Bernal
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, María Salome Ros Braquehais
1
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13
, José Alfonso García Guerra
1
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, María Dolores Martínez Pitarch
1
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, Iván Arroyo Fernández
1
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, Virginia Guevara Velázquez
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, Pilar Martínez Olondris
1
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, Marco Francisco Pereyra Barrionuevo
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, Javier Lázaro Sierra
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, Paloma Clavería
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, Aurelio Luis Wangüemert Pérez
1
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, Pedro Pablo España Yandiola
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, Irene Cano
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, Iria Pérez Orbis
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, Carolina Gotera Rivera
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, Celia Ruiz Pérez
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, Rosario Menéndez Villanueva
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, Raúl Méndez
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, Ana Latorre
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, Miguel Ángel Salvador Maya
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, Claudia Valenzuela
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, José M Cifrián Martínez
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, Juan Marco Figueira Gonçalves
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, Adrián Baeza Ruiz
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, Andrea Expósito Marrero
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, Nikita Gurbani
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, Rosa Malo de Molina Ruiz
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, Marina Galdeano Lozano
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, Luisa Ramón Clar
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, Alba Esperanza Barrios
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, Pilar Cejudo Ramos
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, Cecilia López Ramírez
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, Mirella Gaboli
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, Virginia Almadana Pacheco
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, Ferran Eduard Barbé Illa
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, Anna Clara
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, Nuria Gutiérrez González
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, Eva Cabrera César
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Affiliations
- 1 Pneumology Department, La Fe University and Polytechnic Hospital, Valencia, Spain.
- 2 Respiratory Infections, Health Research Institute La Fe (IISLAFE), Valencia, Spain.
- 3 Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
- 4 Department of Medicine, University of Valencia, Valencia, Spain.
- 5 Pneumology Department, Cruces University Hospital, Barakaldo, Spain.
- 6 Department of Immunology, Microbiology and Parasitology, Facultad de Medicina y Enfermería, Universidad del País Vasco/Euskal Herriko Unibertsitatea UPV/EHU, Leioa, Spain.
- 7 Pneumology Department, Galdakao-Usansolo Hospital, Galdacano, Spain.
- 8 Department of Medicine, University of Barcelona, Barcelona, Spain.
- 9 Faculty of Health Sciences, Continental University, Huancayo, Peru.
- 10 August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
- 11 Data Science, Biostatistics and Bioinformatics, Health Research Institute La Fe (IISLAFE), Valencia, Spain.
- 12 Department of Applied Statistics and Operational Research and Quality, Universitat Politècnica de València, Valencia, Spain.
- 13 Pneumology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
- PMID: 37886363
- PMCID: PMC10598770
- DOI: 10.3389/fmed.2023.1236142
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Abstract
Introduction: There are no data on the association of type of pneumonia and long-term mortality by the type of pneumonia (COVID-19 or community-acquired pneumonia [CAP]) on long-term mortality after an adjustment for potential confounding variables. We aimed to assess the type of pneumonia and risk factors for long-term mortality in patients who were hospitalized in conventional ward and later discharged.
Methods: Retrospective analysis of two prospective and multicentre cohorts of hospitalized patients with COVID-19 and CAP. The main outcome under study was 1-year mortality in hospitalized patients in conventional ward and later discharged. We adjusted a Bayesian logistic regression model to assess associations between the type of pneumonia and 1-year mortality controlling for confounders.
Results: The study included a total of 1,693 and 2,374 discharged patients in the COVID-19 and CAP cohorts, respectively. Of these, 1,525 (90.1%) and 2,249 (95%) patients underwent analysis. Until 1-year follow-up, 69 (4.5%) and 148 (6.6%) patients from the COVID-19 and CAP cohorts, respectively, died (p = 0.008). However, the Bayesian model showed a low probability of effect (PE) of finding relevant differences in long-term mortality between CAP and COVID-19 (odds ratio 1.127, 95% credibility interval 0.862-1.591; PE = 0.774).
Conclusion: COVID-19 and CAP have similar long-term mortality after adjusting for potential confounders.
Keywords: Bayesian; COVID-19; long-term; mortality; pneumonia.
Copyright © 2023 Méndez, González-Jiménez, Latorre, Mengot, Zalacain, Ruiz, Serrano, España, Uranga, Cillóniz, Hervás, Torres, Menéndez, NEUMONAC and RECOVID.
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Figures
Figure 1
Approximate probability distributions for estimates…
Figure 1
Approximate probability distributions for estimates of different logistic regression model parameters for 1-year…
Approximate probability distributions for estimates of different logistic regression model parameters for 1-year mortality. Odds ratio are shown in natural log scale. 95 and 100% highest density intervals (HDI) for each estimate are colored in red and blue, respectively.
References
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