{'fraction_non_alphanumeric': 0.064, 'fraction_numerical': 0.054285714285714284, 'mean_word_length': 5.037931034482758, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Recovery in adults hospitalised with community-acquired pneumonia; a systematic review and meta-analysis

Introduction; Research for community-acquired pneumonia (CAP) has focussed on diagnosis and management, whilst little is known about symptomatic and functional recovery. The review aimed to summarise studies investigating CAP recovery. Methods; The review followed PRISMA guidelines. Bibliographic databases (MEDLINE, EMBASE, CINAHL, AMED) and conference proceedings (ATS, BTS, ERS) were systematically searched. Data were collected on patient reported symptoms and measures of functional recovery. When able, pooled prevalence estimates with 95% confidence intervals (CIs) were estimated using random effects models, otherwise narrative synthesis was conducted. Results; Sixteen studies fulfilled eligibility criteria. Four studies included data for symptom prevalence at 4 weeks allowing calculation of summary estimates; cough was present in 42% (95% CI 0.24-0.60, I2=97.1%), dyspnoea in 39% (95% CI 0.21-0.58, I2=97.5%), fatigue in 42% (95% CI 0.10-0.74, I2=99.2%), and any one or more symptom in 70% (95% CI 0.53-0.86, I2=98.6%). Estimates from 2 studies of the prevalence of chest pain at 4 weeks were 6.5% and 31.2%, and for sputum production were 11% and 42.3%. Return to baseline levels of activities of daily living ranged from 48.9% to 82% (3 studies) and return to work for those in employment ranged from 65.7% to 68.1% (4 studies.) Primary care consultations were reported in between 20.3% and 59.2% participants, and Emergency Department attendances ranged from 12% to 18.4%. Discussion; This review underlines the significant burden experienced by patients during recovery from CAP and the contrasting lack of relevant research.