Cardiovascular Events
Conditions
Keywords
Community-acquired pneumonia (CAP)
Brief summary
FADOI-ICECAP is a observational, prospective, multicenter study involving 20-25 nationwide Units of Internal Medicine. The study foresees the participation of 26 Internal Medicine Operative Units, and for each of them a prospective registration of data relative to at least 50 patients admitted with CAP (in total, at least 1300 evaluable subjects) is foreseen.
Detailed description
Phase 1 - Patients enrollment (October 2016 - February 2018) Each Investigator have recorded data concerning 50 patients. It will be collected general characteristics of patients, clinical parameters and conditions, diagnostic imaging and blood tests, Phase 2 - Database review and validation (April 2018 - October 2018) The data collected will be analysed to process the endpoints.
Interventions
In this study there is no intervention
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age \> 18 years 2. Diagnosis of pneumonia defined by the presence on chest X-ray or CT-scan of lung of new infiltration associated with at least two of the following clinical features: * fever \> 37.8°C * typical symptoms (dyspnea, productive cough, pain) * typical clinical signs on chest examination (crepitation, bronchial breathing, pleural effusion) * leukocytosis
Exclusion criteria
* patients with Hospital-Acquired Pneumonia (HAP) (i.e. those patients with pneumonia acquired in hospital more than 48 hours after admission) * patients with tuberculosis in active phase * patients with cystic fibrosis * patients who refuse to participate in the study and/or to give the written informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of CV events | 17 months | To assess the cumulative incidence of well defined acute CV complications during hospitalization for CAP (index event). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | 18 months | To evaluate the impact on 30-day mortality of acute CV events occurred during hospitalization |
| Impact of acute CV events | 18 months | To assess the impact of acute CV events occurred during hospitalization on the risk of hospital readmission within 30 days |
| Impact of CV events | 18 months | To assess the impact of CV events on the length of hospitalization |
| Risk factor | 18 months | To evaluate risk factors for the occurrence of acute CV events |
| Incidence of CV events in patients without history of heart failure, acute coronary syndrome, cerebrovascular disease, or clinically relevant arrhythmia | 18 months | To evaluate the incidence of CV complications in the group of patients without history of heart failure, acute coronary syndrome, cerebrovascular disease, or clinically relevant arrhythmia |