Relationship of Smoking Status and Severity of Inpatient Community Acquired Pneumonia (CAP)

Risa Septia Karisma(1*), Sahrun Sahrun(2), Ronanarasafa Ronanarasafa(3), Risky Irawan Putra Priono(4)


(1) Faculty of Medicine Al-Azhar Islamic University Mataram, West Nusa Tenggara, Indonesia
(2) Department of Lung Disease and Respiratory Medicine, Faculty of Medicine, Al-Azhar Islamic University Mataram, West Nusa Tenggara, Indonesia
(3) Department Medical Education Unit Faculty of Medicine, Al-Azhar Islamic University Mataram, West Nusa Tenggara, Indonesia
(4) Department of Lung Disease and Respiratory Medicine, Faculty of Medicine, Al-Azhar Islamic University Mataram, West Nusa Tenggara, Indonesia
(*) Corresponding Author

Abstract


Background: Pneumonia is an inflammation of the lung parenchyma. Pneumonia became the first most lung health problem in West Lombok. Smoking is one of the main factors in CAP. This study aims to determine the relationship between smoking status and severity of inpatient CAP patients.

Methods: Case control study design was used with medical record measurement tools. A total of 70 samples were taken using a purposive sampling technique for community pneumonia patients (CAP) at Patut Patuh Patju Regional General Hospital Gerung, West Lombok in November 2021-October 2022. Calculation of the severity of CAP patients used the PSI score. 

Results: The results obtained a p-value of 0.000 (p-value <0.05) for smoker status with a degree of severity of CAP, and a p-value of 0.064 (p-value> 0.05) for a degree of smoking with a degree of severity of CAP. The estimated risk (OR) for smoking status with the severity of CAP is 19.33.

Conclusions: There is a significant relationship between smoking status, but not with smoking degree, to severity of CAP at Patut Patuh Patju Gerung Regional General Hospital, West Lombok.

Keywords


Smoker Status; Community Acquired Pneumonia (CAP); CAP Severity

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References


Monita O, Yani FF, Lestari Y. Profil Pasien Pneumonia Komunitas di Bagian Anak RSUP DR. M. Djamil Padang Sumatera Barat. J Kesehat Andalas. 2015;4(1):218–26.

Almirall J, Blanquer J, Bello S. Community-acquired Pneumonia Among Smokers. Arch Bronconeumol. 2014;50(6):250–4.

Lanks CW, Musani AI, Hsia DW. Community-acquired Pneumonia and Hospital-acquired Pneumonia. Med Clin North Am. 2019;103(3):487–501.

Kementerian Kesehatan Republik Indonesia. (2018). Hasil Utama RISKESDAS. Jakarta, p. 28.

RSUD Gerung. (2022). Rekam Medis Data Pneumonia RSUD Gerung. Gerung: Rumah Sakit Umum Daerah Patut Patuh Patju Gerung.

Dwedar IA, Sayed MAE. Association between passive smoking and community-acquired pneumonia among the adult population. Egypt J Chest Dis Tuberc. 2018;67(4):457.

Baskaran V, Murray RL, Hunter A, Lim WS, McKeever TM. Effect of tobacco smoking on the risk of developing community acquired pneumonia: A systematic review and meta-analysis. PLoS One. 2019;14(7): 1–18.

Crisafulli E, Cillóniz C, Liapikou A, Ferrari M, Busti F, Girelli D, et al. Systemic inflammatory response and outcomes in community-acquired pneumonia patients categorized according to the smoking habit or presence of chronic obstructive pulmonary disease. J Clin Med. 2020;9(9):1–12.

Fauzan M. 2014. Hubungan Kebiasaan Merokok dengan Indeks Keparahan Pnemonia pada Pasien Pneumonia Komunitas yang Dirawat di Bangsal Paru RSUP Dr. M. Djamil Padang Tahun 2014. Universitas Andalas.

Mani CS. Acute Pneumonia and Its Complications. Princ Pract Pediatr Infect Dis. 2018;238–49.

Surjanto E, Sutanto YS, Indrayati D. Perbandingan Tiga Metode Prediksi secara Retrospektif dalam Menilai Derajat Pneumonia Komunitas pada Pasien Lanjut Usia di Rumah Sakit Dr . Moewardi Surakarta. J Respir Indo. 2013;33(1):34–39.

Mi-Ae K, Jae SP, Choong WL, Won-Il C. Pneumonia severity index in viral community acquired pneumonia in adults. PLoS One. 2019;14(3):1–12.

Eshwara VK, Mukhopadhyay C, Rello J. Community-acquired bacterial pneumonia in adults: An update. Indian J Med. 2020;151:287–302.

Ferreira-Coimbra J, Sarda C, Rello J. Burden of Community-Acquired Pneumonia and Unmet Clinical Needs. Adv Ther. 2020;37(4):1302–18.

Ng M, Freeman MK, Fleming TD, Robinson M, Dwyer-lindgren L, Thomson B, et al. Smoking Prevalence and Cigarette Consumption in 187 Countries, 1980-2012. JAMA,. 2014;311(2):183-192.

Sundari R, Widjaya DS, Nugraha A. Lama Merokok dan Jumlah Konsumsi Rokok terhadap Trombosit pada Laki-laki Perokok Aktif Smoking Period and Number of Cigarette Consumption with Thrombocyte among Active Male Smokers. Kesmas: National Public Health Journal. 2015;9(3):257–263.

Heo JW, Yeo CD, Park CK, Kim SK, Kim JS, Kim JW, et al. Smoking is associated with pneumonia development in lung cancer patients. BMC Pulm Med. 2020;20(1):1–8.

Miyashita L, Suri R, Dearing E, Mudway I, Dove RE, Neill DR, et al. E-cigarette vapour enhances pneumococcal adherence to airway epithelial cells. Eur Respir J. 2018;51(2).

Cao Y, Chen M, Dong D, Xie S, Liu M. Environmental pollutants damage airway epithelial cell cilia: Implications for the prevention of obstructive lung diseases. Thorac Cancer. 2020;11(3):505–10.

Tamrin AMH. 2014. Deteksi Waktu Transportasi Mukosiliar Pada Perokok dan Non Perokok dengan Uji Sakharin. Universitas Islam Negeri Syarif Hidayatullah Jakarta.

Lerner CA, Isaac K. Sundar, Irfan Rahman. Mitochondrial Redox System, Dynamics, and Dysfunction in Lung Inflammaging and COPD. Int J Biochem Cell Bio. 2016;81(1): 294–306.

He Z, Chen Y, Hou C, He W, Chen P. Cigarette smoke extract changes expression of endothelial nitric oxide synthase (eNOS) and p16(INK4a) and is related to endothelial progenitor cell dysfunction. Med Sci Monit. 2017; 23:3224–31.

Jiang C, Chen Q, Xie M. Smoking increases the risk of infectious diseases: A narrative review. Tob Induc Dis. 2020;18:1–17.

Salsabila A, Yuniarti. Hubungan Derajat Merokok dengan Gejala Gangguan Sistem Pernapasan pada Pegawai Universitas Islam Bandung. J Ris Kedokt. 2022;1(2):100–6.

Almirall J, Serra-Prat M, Bolíbar I, Balasso V. Risk Factors for Community-Acquired Pneumonia in Adults: A Systematic Review of Observational Studies. Respiration. 2017;94(3):299–311.

Tanzila RA, Prameswarie T, Marsellah D. (2022). Hubungan Lama Merokok dan Jumlah Rokok dengan Saturasi Oksigen dan Frekuensi Pernafasan pada Perokok Aktif. Maj Kedokt Andalas. 45(2), 126–33.

Pitaloka SLD, Wibisono BH. (2015). Beberapa Faktor Risiko yang Berhubungan dengan Kematian Pasien Pneumonia Komunitas di RSUP DR. Kariadi Semarang. Media Med Muda, 4(4), 1495–502.


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DOI: https://doi.org/10.26714/magnamed.10.2.2023.150-162

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