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KMID : 0385920120230060847
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Journal of the Korean Society of Emergency Medicine
2012 Volume.23 No. 6 p.847 ~ p.852
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Comparison of Clinical Characteristics of Pulmonary Tuberculosis between General and Homeless Patients
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Park Kwan-Jin
Shin Sang-Do
Park Chang-Bae
Hong Ki-Jeong
Shin Jong-Hwan
Song Kyoung-Jun
Jeong Jin-Hee
Kang Chang-Woo
Kim Yu-Jin
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Abstract
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Purpose: We compared characteristics and outcomes of pulmonary tuberculosis in homeless and non-homeless patients.
Methods: A retrospective, cross-sectional study was conducted in a Seoul municipal medical center between January 2007 and December 2011. All adult patients diagnosed with pulmonary tuberculosis were included. We classified these patients into homeless and non-homeless and compared the disease characteristics, risk factors, mortality, treatment completion rate, and resistance rate.
Results: All 157 patients were diagnosed with pulmonary tuberculosis (75 homeless and 82 non-homeless). Most homeless patients were male (97.3%) and had higher emergency medical service (EMS) use (77.3%). Additionally, most homeless patients used alcohol l(76%) and smoked (77.3%). When compared with the non-homeless group, the homeless group had a higher in-hospital mortality rate (14.7%; adjusted odds ratio (OR), 4.69; 95% confident interval (CI), 1.03-21.34), and were more likely to be admitted for (adjusted OR=3.27(1.07-9.97)), but not to complete tuberculosis treatment (adjusted OR=9.10(2.24-36.98)).
Conclusion: Pulmonary tuberculosis showed higher mortality in homeless than non-homeless patients. Additionally, homeless had a lower treatment completion rate and fewer resistant microorganisms.
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KEYWORD
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Homeless, Tuberculosis, Mortality, Resistance
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