New evidence of risk factors for community-acquired pneumonia: A population-based study

J. Almirall; I. Bolíbar; M. Serra-Prat; J. Roig; I. Hospital; E. Carandell; M. Agustí; P. Ayuso; A. Estela; A. Torres; J. M. De Salas; J. Costa; M. Tristany; M. J. Grau; S. Sancho; E. Miguel; M. Fradera; I. Ochoa; M. J. Castany; A. Quilez; V. Marina; P. Subias; B. Jimeno; A. Bradnovich; M. Rodriguez; E. Ramon; A. Gardella; C. Ginés; X. Mestres; A. Armada; J. Mallafré; M. Roger; M. T. Gros; N. Les; J. Joanola; J. Doménech; M. Bundó; M. Trilla; J. Massons; J. Montero; E. Zurilla; P. Torán; M. M. Aizpurua; G. Lozano; J. Casals; J. Sorribes; D. Torrellas; J. L.L. Anglada; J. Salabarnada; E. Sanz; F. Gorgas; A. Ribas; E. Fau; I. Pellicer; S. Morales; A. Casas; J. Bernad; A. De Montoliu; J. Gaya; R. Vallés; A. Vazquez; R. Peiró; G. Aresté; G. N. Mengual; M. C. Viñes; E. Almerich; M. A. Lopez; J. Bel; A. Gosalves; S. Macip; E. Carrillo; P. Paulo; M. Pol; J. Sala; P. Mir; P. Carrera; I. Legazpi; F. Planellas; A. Beltran; T. Planas; J. Rovira; M. De Ciurana; C. Xargay; R. B. Cortés; J. Paredes; J. G. Olive; P. Montoya; F. X. Burcet; D. Alcantarilla; J. De Ribot; M. R. Gorgot; R. A. Bas; M. B. Rosa; J. Castells; J. A. Castillo; J. C. Torrent; D. Rodríguez; X. Rius; M. Navarro; J. M. Benet

doi:10.1183/09031936.00095807

New evidence of risk factors for community-acquired pneumonia: A population-based study

J. Almirall, I. Bolíbar, M. Serra-Prat, J. Roig, I. Hospital, E. Carandell, M. Agustí, P. Ayuso, A. Estela, A. Torres, J. M. De Salas, J. Costa, M. Tristany, M. J. Grau, S. Sancho, E. Miguel, M. Fradera, I. Ochoa, M. J. Castany, A. QuilezV. Marina, P. Subias, B. Jimeno, A. Bradnovich, M. Rodriguez, E. Ramon, A. Gardella, C. Ginés, X. Mestres, A. Armada, J. Mallafré, M. Roger, M. T. Gros, N. Les, J. Joanola, J. Doménech, M. Bundó, M. Trilla, J. Massons, J. Montero, E. Zurilla, P. Torán, M. M. Aizpurua, G. Lozano, J. Casals, J. Sorribes, D. Torrellas, J. L.L. Anglada, J. Salabarnada, E. Sanz, F. Gorgas, A. Ribas, E. Fau, I. Pellicer, S. Morales, A. Casas, J. Bernad, A. De Montoliu, J. Gaya, R. Vallés, A. Vazquez, R. Peiró, G. Aresté, G. N. Mengual, M. C. Viñes, E. Almerich, M. A. Lopez, J. Bel, A. Gosalves, S. Macip, E. Carrillo, P. Paulo, M. Pol, J. Sala, P. Mir, P. Carrera, I. Legazpi, F. Planellas, A. Beltran, T. Planas, J. Rovira, M. De Ciurana, C. Xargay, R. B. Cortés, J. Paredes, J. G. Olive, P. Montoya, F. X. Burcet, D. Alcantarilla, J. De Ribot, M. R. Gorgot, R. A. Bas, M. B. Rosa, J. Castells, J. A. Castillo, J. C. Torrent, D. Rodríguez, X. Rius, M. Navarro, J. M. Benet

Department of Medicine

Research output: Contribution to journal › Article › Research › peer-review

226 Citations (Scopus)

Abstract

The aim of the present study was to identify risk factors for community-acquired pneumonia (CAP), with special emphasis on modifiable risk factors and those applicable to the general population. A population-based, case-control study was conducted, with a target population of 859,033 inhabitants aged >14 yrs. A total of 1,336 patients with confirmed CAP were matched to control subjects by age, sex and primary centre over 1 yr. In the univariate analysis, outstanding risk factors were passive smoking in never-smokers aged >65 yrs, heavy alcohol intake, contact with pets, households with >10 people, contact with children, interventions on the upper airways and poor dental health. Risky treatments included amiodarone, N-acetylcysteine and oral steroids. Influenza and pneumococcal vaccine, and visiting the dentist were protective factors. Multivariable analysis confirmed cigarette smoking, usual contact with children, sudden changes of temperature at work, inhalation therapy (particularly containing steroids and using plastic pear-spacers), oxygen therapy, asthma and chronic bronchitis as independent risk factors. Interventions for reducing community-acquired pneumonia should integrate health habits and lifestyle factors related to household, work and community, together with individual clinical conditions, comorbidities and oral or inhaled regular treatments. Prevention would include vaccination, dental hygiene and avoidance of upper respiratory colonisation. Copyright©ERS Journals Ltd 2008.

Original language	English
Pages (from-to)	1274-1284
Journal	European Respiratory Journal
Volume	31
Issue number	6
DOIs	https://doi.org/10.1183/09031936.00095807
Publication status	Published - 1 Jan 2008

Keywords

Community-acquired pneumonia
Population-based study
Risk factors

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Almirall, J., Bolíbar, I., Serra-Prat, M., Roig, J., Hospital, I., Carandell, E., Agustí, M., Ayuso, P., Estela, A., Torres, A., De Salas, J. M., Costa, J., Tristany, M., Grau, M. J., Sancho, S., Miguel, E., Fradera, M., Ochoa, I., Castany, M. J., ... Benet, J. M. (2008). New evidence of risk factors for community-acquired pneumonia: A population-based study. European Respiratory Journal, 31(6), 1274-1284. https://doi.org/10.1183/09031936.00095807

Almirall, J. ; Bolíbar, I. ; Serra-Prat, M. ; Roig, J. ; Hospital, I. ; Carandell, E. ; Agustí, M. ; Ayuso, P. ; Estela, A. ; Torres, A. ; De Salas, J. M. ; Costa, J. ; Tristany, M. ; Grau, M. J. ; Sancho, S. ; Miguel, E. ; Fradera, M. ; Ochoa, I. ; Castany, M. J. ; Quilez, A. ; Marina, V. ; Subias, P. ; Jimeno, B. ; Bradnovich, A. ; Rodriguez, M. ; Ramon, E. ; Gardella, A. ; Ginés, C. ; Mestres, X. ; Armada, A. ; Mallafré, J. ; Roger, M. ; Gros, M. T. ; Les, N. ; Joanola, J. ; Doménech, J. ; Bundó, M. ; Trilla, M. ; Massons, J. ; Montero, J. ; Zurilla, E. ; Torán, P. ; Aizpurua, M. M. ; Lozano, G. ; Casals, J. ; Sorribes, J. ; Torrellas, D. ; Anglada, J. L.L. ; Salabarnada, J. ; Sanz, E. ; Gorgas, F. ; Ribas, A. ; Fau, E. ; Pellicer, I. ; Morales, S. ; Casas, A. ; Bernad, J. ; De Montoliu, A. ; Gaya, J. ; Vallés, R. ; Vazquez, A. ; Peiró, R. ; Aresté, G. ; Mengual, G. N. ; Viñes, M. C. ; Almerich, E. ; Lopez, M. A. ; Bel, J. ; Gosalves, A. ; Macip, S. ; Carrillo, E. ; Paulo, P. ; Pol, M. ; Sala, J. ; Mir, P. ; Carrera, P. ; Legazpi, I. ; Planellas, F. ; Beltran, A. ; Planas, T. ; Rovira, J. ; De Ciurana, M. ; Xargay, C. ; Cortés, R. B. ; Paredes, J. ; Olive, J. G. ; Montoya, P. ; Burcet, F. X. ; Alcantarilla, D. ; De Ribot, J. ; Gorgot, M. R. ; Bas, R. A. ; Rosa, M. B. ; Castells, J. ; Castillo, J. A. ; Torrent, J. C. ; Rodríguez, D. ; Rius, X. ; Navarro, M. ; Benet, J. M. / New evidence of risk factors for community-acquired pneumonia: A population-based study. In: European Respiratory Journal. 2008 ; Vol. 31, No. 6. pp. 1274-1284.

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title = "New evidence of risk factors for community-acquired pneumonia: A population-based study",

abstract = "The aim of the present study was to identify risk factors for community-acquired pneumonia (CAP), with special emphasis on modifiable risk factors and those applicable to the general population. A population-based, case-control study was conducted, with a target population of 859,033 inhabitants aged >14 yrs. A total of 1,336 patients with confirmed CAP were matched to control subjects by age, sex and primary centre over 1 yr. In the univariate analysis, outstanding risk factors were passive smoking in never-smokers aged >65 yrs, heavy alcohol intake, contact with pets, households with >10 people, contact with children, interventions on the upper airways and poor dental health. Risky treatments included amiodarone, N-acetylcysteine and oral steroids. Influenza and pneumococcal vaccine, and visiting the dentist were protective factors. Multivariable analysis confirmed cigarette smoking, usual contact with children, sudden changes of temperature at work, inhalation therapy (particularly containing steroids and using plastic pear-spacers), oxygen therapy, asthma and chronic bronchitis as independent risk factors. Interventions for reducing community-acquired pneumonia should integrate health habits and lifestyle factors related to household, work and community, together with individual clinical conditions, comorbidities and oral or inhaled regular treatments. Prevention would include vaccination, dental hygiene and avoidance of upper respiratory colonisation. Copyright{\textcopyright}ERS Journals Ltd 2008.",

keywords = "Community-acquired pneumonia, Population-based study, Risk factors",

author = "J. Almirall and I. Bol{\'i}bar and M. Serra-Prat and J. Roig and I. Hospital and E. Carandell and M. Agust{\'i} and P. Ayuso and A. Estela and A. Torres and {De Salas}, {J. M.} and J. Costa and M. Tristany and Grau, {M. J.} and S. Sancho and E. Miguel and M. Fradera and I. Ochoa and Castany, {M. J.} and A. Quilez and V. Marina and P. Subias and B. Jimeno and A. Bradnovich and M. Rodriguez and E. Ramon and A. Gardella and C. Gin{\'e}s and X. Mestres and A. Armada and J. Mallafr{\'e} and M. Roger and Gros, {M. T.} and N. Les and J. Joanola and J. Dom{\'e}nech and M. Bund{\'o} and M. Trilla and J. Massons and J. Montero and E. Zurilla and P. Tor{\'a}n and Aizpurua, {M. M.} and G. Lozano and J. Casals and J. Sorribes and D. Torrellas and Anglada, {J. L.L.} and J. Salabarnada and E. Sanz and F. Gorgas and A. Ribas and E. Fau and I. Pellicer and S. Morales and A. Casas and J. Bernad and {De Montoliu}, A. and J. Gaya and R. Vall{\'e}s and A. Vazquez and R. Peir{\'o} and G. Arest{\'e} and Mengual, {G. N.} and Vi{\~n}es, {M. C.} and E. Almerich and Lopez, {M. A.} and J. Bel and A. Gosalves and S. Macip and E. Carrillo and P. Paulo and M. Pol and J. Sala and P. Mir and P. Carrera and I. Legazpi and F. Planellas and A. Beltran and T. Planas and J. Rovira and {De Ciurana}, M. and C. Xargay and Cort{\'e}s, {R. B.} and J. Paredes and Olive, {J. G.} and P. Montoya and Burcet, {F. X.} and D. Alcantarilla and {De Ribot}, J. and Gorgot, {M. R.} and Bas, {R. A.} and Rosa, {M. B.} and J. Castells and Castillo, {J. A.} and Torrent, {J. C.} and D. Rodr{\'i}guez and X. Rius and M. Navarro and Benet, {J. M.}",

year = "2008",

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doi = "10.1183/09031936.00095807",

language = "English",

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pages = "1274--1284",

number = "6",

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Almirall, J, Bolíbar, I, Serra-Prat, M, Roig, J, Hospital, I, Carandell, E, Agustí, M, Ayuso, P, Estela, A, Torres, A, De Salas, JM, Costa, J, Tristany, M, Grau, MJ, Sancho, S, Miguel, E, Fradera, M, Ochoa, I, Castany, MJ, Quilez, A, Marina, V, Subias, P, Jimeno, B, Bradnovich, A, Rodriguez, M, Ramon, E, Gardella, A, Ginés, C, Mestres, X, Armada, A, Mallafré, J, Roger, M, Gros, MT, Les, N, Joanola, J, Doménech, J, Bundó, M, Trilla, M, Massons, J, Montero, J, Zurilla, E, Torán, P, Aizpurua, MM, Lozano, G, Casals, J, Sorribes, J, Torrellas, D, Anglada, JLL, Salabarnada, J, Sanz, E, Gorgas, F, Ribas, A, Fau, E, Pellicer, I, Morales, S, Casas, A, Bernad, J, De Montoliu, A, Gaya, J, Vallés, R, Vazquez, A, Peiró, R, Aresté, G, Mengual, GN, Viñes, MC, Almerich, E, Lopez, MA, Bel, J, Gosalves, A, Macip, S, Carrillo, E, Paulo, P, Pol, M, Sala, J, Mir, P, Carrera, P, Legazpi, I, Planellas, F, Beltran, A, Planas, T, Rovira, J, De Ciurana, M, Xargay, C, Cortés, RB, Paredes, J, Olive, JG, Montoya, P, Burcet, FX, Alcantarilla, D, De Ribot, J, Gorgot, MR, Bas, RA, Rosa, MB, Castells, J, Castillo, JA, Torrent, JC, Rodríguez, D, Rius, X, Navarro, M & Benet, JM 2008, 'New evidence of risk factors for community-acquired pneumonia: A population-based study', European Respiratory Journal, vol. 31, no. 6, pp. 1274-1284. https://doi.org/10.1183/09031936.00095807

New evidence of risk factors for community-acquired pneumonia: A population-based study. / Almirall, J.; Bolíbar, I.; Serra-Prat, M.; Roig, J.; Hospital, I.; Carandell, E.; Agustí, M.; Ayuso, P.; Estela, A.; Torres, A.; De Salas, J. M.; Costa, J.; Tristany, M.; Grau, M. J.; Sancho, S.; Miguel, E.; Fradera, M.; Ochoa, I.; Castany, M. J.; Quilez, A.; Marina, V.; Subias, P.; Jimeno, B.; Bradnovich, A.; Rodriguez, M.; Ramon, E.; Gardella, A.; Ginés, C.; Mestres, X.; Armada, A.; Mallafré, J.; Roger, M.; Gros, M. T.; Les, N.; Joanola, J.; Doménech, J.; Bundó, M.; Trilla, M.; Massons, J.; Montero, J.; Zurilla, E.; Torán, P.; Aizpurua, M. M.; Lozano, G.; Casals, J.; Sorribes, J.; Torrellas, D.; Anglada, J. L.L.; Salabarnada, J.; Sanz, E.; Gorgas, F.; Ribas, A.; Fau, E.; Pellicer, I.; Morales, S.; Casas, A.; Bernad, J.; De Montoliu, A.; Gaya, J.; Vallés, R.; Vazquez, A.; Peiró, R.; Aresté, G.; Mengual, G. N.; Viñes, M. C.; Almerich, E.; Lopez, M. A.; Bel, J.; Gosalves, A.; Macip, S.; Carrillo, E.; Paulo, P.; Pol, M.; Sala, J.; Mir, P.; Carrera, P.; Legazpi, I.; Planellas, F.; Beltran, A.; Planas, T.; Rovira, J.; De Ciurana, M.; Xargay, C.; Cortés, R. B.; Paredes, J.; Olive, J. G.; Montoya, P.; Burcet, F. X.; Alcantarilla, D.; De Ribot, J.; Gorgot, M. R.; Bas, R. A.; Rosa, M. B.; Castells, J.; Castillo, J. A.; Torrent, J. C.; Rodríguez, D.; Rius, X.; Navarro, M.; Benet, J. M.

In: European Respiratory Journal, Vol. 31, No. 6, 01.01.2008, p. 1274-1284.

Research output: Contribution to journal › Article › Research › peer-review

TY - JOUR

T1 - New evidence of risk factors for community-acquired pneumonia: A population-based study

AU - Almirall, J.

AU - Bolíbar, I.

AU - Serra-Prat, M.

AU - Roig, J.

AU - Hospital, I.

AU - Carandell, E.

AU - Agustí, M.

AU - Ayuso, P.

AU - Estela, A.

AU - Torres, A.

AU - De Salas, J. M.

AU - Costa, J.

AU - Tristany, M.

AU - Grau, M. J.

AU - Sancho, S.

AU - Miguel, E.

AU - Fradera, M.

AU - Ochoa, I.

AU - Castany, M. J.

AU - Quilez, A.

AU - Marina, V.

AU - Subias, P.

AU - Jimeno, B.

AU - Bradnovich, A.

AU - Rodriguez, M.

AU - Ramon, E.

AU - Gardella, A.

AU - Ginés, C.

AU - Mestres, X.

AU - Armada, A.

AU - Mallafré, J.

AU - Roger, M.

AU - Gros, M. T.

AU - Les, N.

AU - Joanola, J.

AU - Doménech, J.

AU - Bundó, M.

AU - Trilla, M.

AU - Massons, J.

AU - Montero, J.

AU - Zurilla, E.

AU - Torán, P.

AU - Aizpurua, M. M.

AU - Lozano, G.

AU - Casals, J.

AU - Sorribes, J.

AU - Torrellas, D.

AU - Anglada, J. L.L.

AU - Salabarnada, J.

AU - Sanz, E.

AU - Gorgas, F.

AU - Ribas, A.

AU - Fau, E.

AU - Pellicer, I.

AU - Morales, S.

AU - Casas, A.

AU - Bernad, J.

AU - De Montoliu, A.

AU - Gaya, J.

AU - Vallés, R.

AU - Vazquez, A.

AU - Peiró, R.

AU - Aresté, G.

AU - Mengual, G. N.

AU - Viñes, M. C.

AU - Almerich, E.

AU - Lopez, M. A.

AU - Bel, J.

AU - Gosalves, A.

AU - Macip, S.

AU - Carrillo, E.

AU - Paulo, P.

AU - Pol, M.

AU - Sala, J.

AU - Mir, P.

AU - Carrera, P.

AU - Legazpi, I.

AU - Planellas, F.

AU - Beltran, A.

AU - Planas, T.

AU - Rovira, J.

AU - De Ciurana, M.

AU - Xargay, C.

AU - Cortés, R. B.

AU - Paredes, J.

AU - Olive, J. G.

AU - Montoya, P.

AU - Burcet, F. X.

AU - Alcantarilla, D.

AU - De Ribot, J.

AU - Gorgot, M. R.

AU - Bas, R. A.

AU - Rosa, M. B.

AU - Castells, J.

AU - Castillo, J. A.

AU - Torrent, J. C.

AU - Rodríguez, D.

AU - Rius, X.

AU - Navarro, M.

AU - Benet, J. M.

PY - 2008/1/1

Y1 - 2008/1/1

N2 - The aim of the present study was to identify risk factors for community-acquired pneumonia (CAP), with special emphasis on modifiable risk factors and those applicable to the general population. A population-based, case-control study was conducted, with a target population of 859,033 inhabitants aged >14 yrs. A total of 1,336 patients with confirmed CAP were matched to control subjects by age, sex and primary centre over 1 yr. In the univariate analysis, outstanding risk factors were passive smoking in never-smokers aged >65 yrs, heavy alcohol intake, contact with pets, households with >10 people, contact with children, interventions on the upper airways and poor dental health. Risky treatments included amiodarone, N-acetylcysteine and oral steroids. Influenza and pneumococcal vaccine, and visiting the dentist were protective factors. Multivariable analysis confirmed cigarette smoking, usual contact with children, sudden changes of temperature at work, inhalation therapy (particularly containing steroids and using plastic pear-spacers), oxygen therapy, asthma and chronic bronchitis as independent risk factors. Interventions for reducing community-acquired pneumonia should integrate health habits and lifestyle factors related to household, work and community, together with individual clinical conditions, comorbidities and oral or inhaled regular treatments. Prevention would include vaccination, dental hygiene and avoidance of upper respiratory colonisation. Copyright©ERS Journals Ltd 2008.

AB - The aim of the present study was to identify risk factors for community-acquired pneumonia (CAP), with special emphasis on modifiable risk factors and those applicable to the general population. A population-based, case-control study was conducted, with a target population of 859,033 inhabitants aged >14 yrs. A total of 1,336 patients with confirmed CAP were matched to control subjects by age, sex and primary centre over 1 yr. In the univariate analysis, outstanding risk factors were passive smoking in never-smokers aged >65 yrs, heavy alcohol intake, contact with pets, households with >10 people, contact with children, interventions on the upper airways and poor dental health. Risky treatments included amiodarone, N-acetylcysteine and oral steroids. Influenza and pneumococcal vaccine, and visiting the dentist were protective factors. Multivariable analysis confirmed cigarette smoking, usual contact with children, sudden changes of temperature at work, inhalation therapy (particularly containing steroids and using plastic pear-spacers), oxygen therapy, asthma and chronic bronchitis as independent risk factors. Interventions for reducing community-acquired pneumonia should integrate health habits and lifestyle factors related to household, work and community, together with individual clinical conditions, comorbidities and oral or inhaled regular treatments. Prevention would include vaccination, dental hygiene and avoidance of upper respiratory colonisation. Copyright©ERS Journals Ltd 2008.

KW - Community-acquired pneumonia

KW - Population-based study

KW - Risk factors

U2 - 10.1183/09031936.00095807

DO - 10.1183/09031936.00095807

M3 - Article

VL - 31

SP - 1274

EP - 1284

IS - 6

ER -