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J Korean Soc Emerg Med > Volume 23(6); 2012 > Article
Journal of The Korean Society of Emergency Medicine 2012;23(6): 847-852.
Comparison of Clinical Characteristics of Pulmonary Tuberculosis between General and Homeless Patients
Kwan Jin Park, Sang Do Shin, Chang Bae Park, Ki Jeong Hong, Jong Hwan Shin, Kyoung Jun Song, Yu Jin Kim, Jin Hee Jeong, Chang Woo Kang
1Department of Emergency Medicine, College of Medicine, Seoul National University, Seoul, Korea.
2Department of Emergency Medicine, Seoul National University Boramae Medical Center, Seoul, Korea. skciva@gmail.com
3Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
We compared characteristics and outcomes of pulmonary tuberculosis in homeless and non-homeless patients.
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.
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)).
Pulmonary tuberculosis showed higher mortality in homeless than non-homeless patients. Additionally, homeless had a lower treatment completion rate and fewer resistant microorganisms.
Key words: Homeless, Tuberculosis, Mortality, Resistance
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