Background. Current risk stratification tools, primarily used for CAP, are suboptimal in predicting nursing home acquired pneumonia (NHAP) outcome and mortality. We conducted a systematic review to evaluate current evidence on the usefulness of proposed predictors of NHAP mortality. Methods. PubMed (MEDLINE), EMBASE, and CINAHL databases were searched for articles published in English between January 1978 and January 2014. The literature search elicited a total of 666 references; 580 were excluded and 20 articles met the inclusion criteria for the final analysis. Results. More studies supported the Pneumonia Severity Index (PSI) as a superior predictor of NHAP severity. Fewer studies suggested CURB-65 and SOAR (especially for the need of ICU care) as useful predictors for NHAP mortality. There is weak evidence for biomarkers like C-reactive protein and copeptin as prognostic tools. Conclusion. The evidence supports the use of PSI as the best available indicator while CURB-65 may be an alternative prognostic indicator for NHAP mortality. Overall, due to the paucity of information, biomarkers may not be as effective in this role. Larger prospective studies are needed to establish the most effective predictor(s) or combination scheme to help clinicians in decision-making related to NHAP mortality.
The purpose of this research is to provide a conceptual overview on published studies and articles related to social media and information systems as two independent, continuous and interdependent concepts. The research data is from the survey for two social media keywords and information systems from the Scopus site, which is one of the main scientific search engines. Due to a large number of findings, the study area was limited to 6 major areas of social sciences, business management, economics, arts and humanities, psychology and decision-making sciences, and 5185 articles were found. To investigate and analyze the findings, the Romethometrics and bibliometrics library of R Studio software were used. Biblimetrix was a method for studying and evaluating quantitative scientific texts using mathematical and statistical methods. The data obtained from this research is useful for scholars, researchers, decision-makers and those interested in social media and information networks in the political, economic, social and cultural spheres.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.