View in EDS

Outcome Predictors of Pneumonia in Elderly Patients: Importance of Functional Assessment.

Saved in:
Bibliographic Details
Title: Outcome Predictors of Pneumonia in Elderly Patients: Importance of Functional Assessment.
Authors: Torres, Olga H., Muñoz, Jose, Ruiz, Domingo, Ris, Josep, Gich, Ignasi, Coma, Eva, Gurgu, Merc, Vázquez, Guillermo
Source: Journal of the American Geriatrics Society. Oct2004, Vol. 52 Issue 10, p1603-1609. 7p. 4 Charts, 1 Graph.
Subjects: Pneumonia, Health outcome assessment, Geriatric assessment, Lung diseases, Geriatrics
Abstract: (Editorial comments by Dr. Kevin P. High on pp 1768–1770)To evaluate the outcome of elderly patients with community-acquired pneumonia (CAP) seen at an acute-care hospital, analyzing the importance of CAP severity, functional status, comorbidity, and frailty.Prospective observational study.Emergency department and geriatric medical day hospital of a university teaching hospital.Ninety-nine patients aged 65 and older seen for CAP over a 6-month recruitment period.Clinical data were used to calculate Pneumonia Severity Index (PSI), Barthel Index (BI), Charlson Comorbidity Index, and Hospital Admission Risk Profile (HARP). Patients were then assessed 15 days later to determine functional decline and 30 days and 18 months later for mortality and readmission. Multiple logistic regression was used to analyze outcomes.Functional decline was observed in 23% of the 93 survivors. Within the 30-day period, case-fatality rate was 6% and readmission rate 11%; 18-month rates were 24% and 59%, respectively. Higher BI was a protective factor for 30-day and 18-month mortality (odds ratio (OR)=0.96, 95% confidence interval (CI)=0.94–0.98 and OR=0.97, 95% CI=0.95–0.99, respectively;P<.01), and PSI was the only predictor for functional decline (OR=1.03, 95% CI=1.01–1.05;P=.01). Indices did not predict readmission. Analyses were repeated for the 74 inpatients and indicated similar results except for 18-month mortality, which HARP predicted (OR=1.73; 95% CI=1.16–2.57;P<.01).Functional status was an independent predictor for short- and long-term mortality in hospitalized patients whereas CAP severity predicted functional decline. Severity indices for CAP should possibly thus be adjusted in the elderly population, taking functional status assessment into account. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
FullText Text:
  Availability: 0
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 14454379
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Outcome Predictors of Pneumonia in Elderly Patients: Importance of Functional Assessment.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Torres%2C+Olga+H%2E%22&quot;&gt;Torres, Olga H.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mu&#241;oz%2C+Jose%22&quot;&gt;Mu&#241;oz, Jose&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ruiz%2C+Domingo%22&quot;&gt;Ruiz, Domingo&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ris%2C+Josep%22&quot;&gt;Ris, Josep&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gich%2C+Ignasi%22&quot;&gt;Gich, Ignasi&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Coma%2C+Eva%22&quot;&gt;Coma, Eva&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gurgu%2C+Merc%22&quot;&gt;Gurgu, Merc&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22V&#225;zquez%2C+Guillermo%22&quot;&gt;V&#225;zquez, Guillermo&lt;/searchLink&gt;
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Journal+of+the+American+Geriatrics+Society%22&quot;&gt;Journal of the American Geriatrics Society&lt;/searchLink&gt;. Oct2004, Vol. 52 Issue 10, p1603-1609. 7p. 4 Charts, 1 Graph.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Pneumonia%22&quot;&gt;Pneumonia&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Health+outcome+assessment%22&quot;&gt;Health outcome assessment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Geriatric+assessment%22&quot;&gt;Geriatric assessment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Lung+diseases%22&quot;&gt;Lung diseases&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Geriatrics%22&quot;&gt;Geriatrics&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: (Editorial comments by Dr. Kevin P. High on pp 1768–1770)To evaluate the outcome of elderly patients with community-acquired pneumonia (CAP) seen at an acute-care hospital, analyzing the importance of CAP severity, functional status, comorbidity, and frailty.Prospective observational study.Emergency department and geriatric medical day hospital of a university teaching hospital.Ninety-nine patients aged 65 and older seen for CAP over a 6-month recruitment period.Clinical data were used to calculate Pneumonia Severity Index (PSI), Barthel Index (BI), Charlson Comorbidity Index, and Hospital Admission Risk Profile (HARP). Patients were then assessed 15 days later to determine functional decline and 30 days and 18 months later for mortality and readmission. Multiple logistic regression was used to analyze outcomes.Functional decline was observed in 23% of the 93 survivors. Within the 30-day period, case-fatality rate was 6% and readmission rate 11%; 18-month rates were 24% and 59%, respectively. Higher BI was a protective factor for 30-day and 18-month mortality (odds ratio (OR)=0.96, 95% confidence interval (CI)=0.94–0.98 and OR=0.97, 95% CI=0.95–0.99, respectively;P&lt;.01), and PSI was the only predictor for functional decline (OR=1.03, 95% CI=1.01–1.05;P=.01). Indices did not predict readmission. Analyses were repeated for the 74 inpatients and indicated similar results except for 18-month mortality, which HARP predicted (OR=1.73; 95% CI=1.16–2.57;P&lt;.01).Functional status was an independent predictor for short- and long-term mortality in hospitalized patients whereas CAP severity predicted functional decline. Severity indices for CAP should possibly thus be adjusted in the elderly population, taking functional status assessment into account. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=14454379
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/j.1532-5415.2004.52492.x
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 1603
    Subjects:
      – SubjectFull: Pneumonia
        Type: general
      – SubjectFull: Health outcome assessment
        Type: general
      – SubjectFull: Geriatric assessment
        Type: general
      – SubjectFull: Lung diseases
        Type: general
      – SubjectFull: Geriatrics
        Type: general
    Titles:
      – TitleFull: Outcome Predictors of Pneumonia in Elderly Patients: Importance of Functional Assessment.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Torres, Olga H.
      – PersonEntity:
          Name:
            NameFull: Muñoz, Jose
      – PersonEntity:
          Name:
            NameFull: Ruiz, Domingo
      – PersonEntity:
          Name:
            NameFull: Ris, Josep
      – PersonEntity:
          Name:
            NameFull: Gich, Ignasi
      – PersonEntity:
          Name:
            NameFull: Coma, Eva
      – PersonEntity:
          Name:
            NameFull: Gurgu, Merc
      – PersonEntity:
          Name:
            NameFull: Vázquez, Guillermo
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 10
              Text: Oct2004
              Type: published
              Y: 2004
          Identifiers:
            – Type: issn-print
              Value: 00028614
          Numbering:
            – Type: volume
              Value: 52
            – Type: issue
              Value: 10
          Titles:
            – TitleFull: Journal of the American Geriatrics Society
              Type: main
ResultId 1