BMC Pulmonary Medicine最新文献

{"title":"Risk factors and clinical impact of sodium and potassium disorders in community-acquired pneumonia.","authors":"Güzide Tomas, Şeyma Başlılar, Ayşe Çapar","doi":"10.1186/s12890-026-04322-y","DOIUrl":"https://doi.org/10.1186/s12890-026-04322-y","url":null,"abstract":"<p><strong>Introduction and aim: </strong>Dysnatremia and dyskalemia are common electrolyte disturbances in patients hospitalized with community-acquired pneumonia (CAP) and have been associated with increased disease severity and adverse clinical outcomes. This study aimed to evaluate the relationship between sodium and potassium disturbances at hospital admission and clinical outcomes, including morbidity and early and late mortality, in patients with CAP.</p><p><strong>Materials and methods: </strong>A total of 998 patients hospitalized with CAP were retrospectively analyzed. Demographic characteristics, comorbidities, admission laboratory parameters, CURB-65 scores, intensive care unit (ICU) admission, ventilatory support requirements, in-hospital mortality, and six-month mortality were recorded. Patients were classified according to the presence and type of electrolyte disturbances at hospital admission and compared accordingly.</p><p><strong>Results: </strong>The mean age of the study population was 71.4 ± 15.6 years, and 46.0% (n = 459) were female. Mean serum sodium and potassium levels at admission were 138.9 ± 5.6 mmol/L and 4.38 ± 0.72 mmol/L, respectively. Hyponatremia was the most frequent electrolyte abnormality (22.7%). Patients with potassium disturbances had significantly higher procalcitonin levels (p < 0.001). The need for ICU and MV and in-hospital mortality was higher in patients with hypernatremia and hypokalemia, while 6 months mortality was more frequent in patients with hyperkalemia(p < 0,001) and hospital stay was longer among patients with hypernatremia (p = 0.002).</p><p><strong>Conclusion: </strong>Electrolyte disturbances at hospital admission are common in patients with CAP and are associated with greater disease severity and increased supportive care requirements. These abnormalities should be interpreted primarily as markers of underlying physiological stress and comorbidity burden rather than independent predictors of mortality. Early recognition of dysnatremia and dyskalemia may support clinical risk awareness and prompt evaluation of potentially reversible contributing factors during inpatient management of CAP.</p>","PeriodicalId":9148,"journal":{"name":"BMC Pulmonary Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Activation of endothelial GABA_A receptor α1 subunit protects against barrier dysfunction in acute lung injury.","authors":"Shuting Zhou, Xudong He, Xinzhe Ni, Aizhong Wang, Xiaotao Xu","doi":"10.1186/s12890-026-04311-1","DOIUrl":"https://doi.org/10.1186/s12890-026-04311-1","url":null,"abstract":"","PeriodicalId":9148,"journal":{"name":"BMC Pulmonary Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary sarcoidosis with suspected bone marrow involvement presenting as severe thrombocytopenia: a case report.","authors":"Zhouzhou Li, Qianru Peng, Zheng Wang, Fei Xiang, Ronghui Liu, Zhigang Hu, Xinyu Song","doi":"10.1186/s12890-026-04315-x","DOIUrl":"https://doi.org/10.1186/s12890-026-04315-x","url":null,"abstract":"","PeriodicalId":9148,"journal":{"name":"BMC Pulmonary Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary sequestration with a rare renal artery subtype: a comprehensive clinicopathological analysis of 20 pediatric cases.","authors":"Fan Hong, Weiyi Cai, Jiahui Li, Manrong Chen, Yanan Liu, Juanjuan Mei","doi":"10.1186/s12890-026-04307-x","DOIUrl":"https://doi.org/10.1186/s12890-026-04307-x","url":null,"abstract":"","PeriodicalId":9148,"journal":{"name":"BMC Pulmonary Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment response and determinants of asthma control in Eastern Africa.","authors":"Kefyalew Ayalew Getahun, Nega Berhane Tessema, Winters Muttamba, Levicatus Mugenyi, Jeremiah Chakaya, Amsalu Bekele, Solomon Mequanente Abay, Tesfaye B Mersha, Getnet Yimer, Bruce J Kirenga","doi":"10.1186/s12890-026-04317-9","DOIUrl":"https://doi.org/10.1186/s12890-026-04317-9","url":null,"abstract":"","PeriodicalId":9148,"journal":{"name":"BMC Pulmonary Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Understanding emotional and practical challenges of initiating oxygen therapy in pulmonary fibrosis: insights from a patient-centered survey.","authors":"Marjolein Drent, Lian Trapman, Miranda Hennevelt-Leenen, Jan C Grutters, Anne-Marie Russell","doi":"10.1186/s12890-026-04241-y","DOIUrl":"https://doi.org/10.1186/s12890-026-04241-y","url":null,"abstract":"","PeriodicalId":9148,"journal":{"name":"BMC Pulmonary Medicine","volume":"26 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine learning-enabled diagnosis of viral respiratory infections from exhaled volatile organic compound analysis.","authors":"Rong Fu, Xiuya Zhang, Qianqian Ni, Yingyi Qin, Zheyang Wu, Shuang Nie, Hao Xu, Fengfeng Mo","doi":"10.1186/s12890-026-04269-0","DOIUrl":"https://doi.org/10.1186/s12890-026-04269-0","url":null,"abstract":"","PeriodicalId":9148,"journal":{"name":"BMC Pulmonary Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ABO and Rh blood group distributions in patients with primary spontaneous pneumothorax: a comparative population-based study across two altitudes.","authors":"Süleyman Gökalp Güneş, Barış Gülmez, Beniz İrem Ersoy Şığva, Yusuf Kahya, İslam Aktürk, Aleyna Kılıç, Ethar Shumar, Şebnem Dursun, Bülent Mustafa Yenigün","doi":"10.1186/s12890-026-04303-1","DOIUrl":"https://doi.org/10.1186/s12890-026-04303-1","url":null,"abstract":"","PeriodicalId":9148,"journal":{"name":"BMC Pulmonary Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of PEEP mask on cough in patients with tracheobronchomalacia.","authors":"Matthew McCravy, Lindsay Boole, Cynthia L Green, Samantha Morrison, Shweta Shrikant, Katie Carroll, Fioleda Kesseli, Joseph Mammarappillil, Brent Robling, Shivanand P Lad, Loretta G Que","doi":"10.1186/s12890-026-04285-0","DOIUrl":"https://doi.org/10.1186/s12890-026-04285-0","url":null,"abstract":"","PeriodicalId":9148,"journal":{"name":"BMC Pulmonary Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for plastic bronchitis in children with community-acquired pneumonia: a retrospective bronchoscopy-based study.","authors":"Haiyan Qin, Xiangli Li, Qin Huang, Chang Peng","doi":"10.1186/s12890-026-04306-y","DOIUrl":"https://doi.org/10.1186/s12890-026-04306-y","url":null,"abstract":"","PeriodicalId":9148,"journal":{"name":"BMC Pulmonary Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}