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Original Article
- Pulmonary
- Early bronchoscopy in severe pneumonia patients in intensive care unit: insights from the Medical Information Mart for Intensive Care-IV database analysis
- Chiwon Ahn, Yeonkyung Park, Yoonseok Oh
- Acute Crit Care. 2024;39(1):179-185. Published online February 15, 2024
- DOI: https://doi.org/10.4266/acc.2023.01165
- 15,109 View
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- 2 Web of Science
- 4 Crossref
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Abstract
PDF - Background
Pneumonia frequently leads to intensive care unit (ICU) admission and is associated with a high mortality risk. This study aimed to assess the impact of early bronchoscopy administered within 3 days of ICU admission on mortality in patients with pneumonia using the Medical Information Mart for Intensive Care-IV (MIMIC-IV) database.
Methods
A single-center retrospective analysis was conducted using the MIMIC-IV data from 2008 to 2019. Adult ICU-admitted patients diagnosed with pneumonia were included in this study. The patients were stratified into two cohorts based on whether they underwent early bronchoscopy. The primary outcome was the 28-day mortality rate. Propensity score matching was used to balance confounding variables.
Results
In total, 8,916 patients with pneumonia were included in the analysis. Among them, 783 patients underwent early bronchoscopy within 3 days of ICU admission, whereas 8,133 patients did not undergo early bronchoscopy. The primary outcome of the 28-day mortality between two groups had no significant difference even after propensity matched cohorts (22.7% vs. 24.0%, P=0.589). Patients undergoing early bronchoscopy had prolonged ICU (P<0.001) and hospital stays (P<0.001) and were less likely to be discharged to home (P<0.001).
Conclusions
Early bronchoscopy in severe pneumonia patients in the ICU did not reduce mortality but was associated with longer hospital stays, suggesting it was used in more severe cases. Therefore, when considering bronchoscopy for these patients, it's important to tailor the decision to each individual case, thoughtfully balancing the possible advantages with the related risks. -
Citations
Citations to this article as recorded by
- Role of early bedside bronchoscopy-assisted sputum aspiration in the treatment of pneumonia in stroke patients
Xu He, Liyan Bo, Xinling Li, Chunhua Li, Hongzhu Bao, Dongbin Li, Liang Shi, Congcong Li
Frontiers in Medicine.2026;[Epub] CrossRef - Bronchoscopy in intensive care: to whom, when, why? (literature review)
O.Yu. Usenko, A.V. Sydiuk, O.Ye. Sydiuk, V.V. Antonenko, S.I. Chechil
EMERGENCY MEDICINE.2025; 21(3): 328. CrossRef - Toilet bronchoscopy in respiratory ICU: a randomized controlled clinical trial
Mohamed F. Abdelghany, Atef F.M. Al Karn, Shaimaa A. Mohammed, Sahar F. Youssif
The Egyptian Journal of Chest Diseases and Tuberculosis.2025; 74(3): 300. CrossRef - Bronchoscopy in Chronic Obstructive Pulmonary Disease
Yang Rui, Zhe Chen, Yuting Wang, Enjian Zhong, Yin Sheng, Tao Li, Tomoya Kawaguchi
Respiratory Endoscopy.2025; 3(2): 79. CrossRef
- Role of early bedside bronchoscopy-assisted sputum aspiration in the treatment of pneumonia in stroke patients
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