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Vol. 25. Num. 2.
Pages 65-130 (March - April 2019)
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Vol. 25. Num. 2.
Pages 65-130 (March - April 2019)
Editorial
DOI: 10.1016/j.pulmoe.2019.03.004
Open Access
Quo Vadis…Pneumonia
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Venceslau Hespanhol
Pulmonology Department- Centro Hospitalar São João, Faculdade de medicina do Porto
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Community-acquired pneumonia (CAP) remains an important and growing cause of morbidity and mortality, worldwide. In Portugal, this has been an area of great interest and concern. Year after year hospitalization rates for pneumonia and hospital lethality have been increasing. This trend has been described in both national and international studies and reports. In the last OECD report, Portugal is one of the countries with the highest mortality due to pneumonia. In this issue of the journal, Teixeira-Lopes F et al.1, have published a study which also underlines this concern. It shows an increase in the number of admissions throughout the study period and that CAP is a cause of relevant hospital mortality in every age group. This situation is not exclusive to Portugal but despite all the studies carried out so far, much remains to be explained. Why are their more hospitalizations? Greater severity of the disease? Aging populations? More aggressive microbial agents? Unjustified hospitalizations? ... However, the continued rise in hospital mortality rates make some of these hypotheses unlikely. The current state requires that in addition to clearly defining the reality of the situation, we also need to seek explanations and develop strategies to reverse this reality. There is a need to design and carry out research aimed at patients, assessing their characteristics, namely their comorbidities and developing mortality risk models for pneumonia that allow an early identification of who, in addition to the age group, has an increased risk of dying from pneumonia. Identifying those who are particularly susceptible will allow us to create preventive strategies that, instead of today, determine the direction and where we want that this disease should go...

References
[1]
F. Teixeira-Lopes, A. Cysneiros, A. Dias, V. Durão, C. Costa, F. Paula, et al.
Intra-hospital mortality for community-acquiredpneumonia in mainland Portugal between 2000 and 2009.
Pulmonol., 25 (2019), pp. 66-70
Copyright © 2019. Sociedade Portuguesa de Pneumologia
Pulmonology

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