Clinical analysis of mortality in elderly patients with community-acquired pneumonia

Sakamoto, Naoharu; Sugihara, Eiichiro; Boku, Soushin; Fukuda, Hiroshi; Isonuma, Hiroshi; Aiba, Miyoji; Dambara, Takashi

doi:10.3143/geriatrics.47.47

Cited by 3 publications

(2 citation statements)

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“…Serum albumin level was measured at admission as a surrogate marker for malnutrition to evaluate the possible correlation between nutritional status and mortality. Our results showed that low serum albumin levels (less than 2.2 mg/dL) positively correlate with mortality, consistent with the results of previous reports [5,16,20]. Furthermore, reduced serum albumin is associated with increased liver enzymes [22][23] and may be related to undiagnosed liver diseases [5].…”

Section: Discussionsupporting

confidence: 92%

“…SOAR (systolic blood pressure < 90 mm Hg, the ratio of arterial oxygen tension to the fraction of inspired oxygen (PaO 2 /FiO 2 ) < 250, age ≥ 65 years, respiratory rate ≥ 30/min), and arterial oxygen tension have also been considered as a criterion to predict the prognosis of CAP [19]. A Japanese study assessed the mortality rate and the related ndings of elderly CAP patients needing hospitalization, and they reported that percutaneous O 2 saturation was lower in the fatality group [20]. Pneumonia usually disturbs ventilation and perfusion.…”

Section: Discussionmentioning

confidence: 99%

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Predictors of mortality in hospitalized elderly patients with community-acquired pneumonia: A three-year retrospective clinical evaluation

Arian

Oghazian

2022

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Background/Objective: Community-acquired pneumonia (CAP) is one of the common causes of hospitalization in the elderly. This study aimed to investigate the clinical findings and the underlying risk factors of mortality in elderly hospitalized patients with CAP. Methods The research population consisted of all patients with CAP, aged 60-year-old or over and admitted to a tertiary hospital within three years. Questionnaires were filled out to record patients' personal information, clinical data, and related findings from their medical records. Results In this cross-sectional study, 90 hospitalized patients were included with a mean age of 73.04 ± 12.32. Coughing was the most prevalent clinical sign in 76.7% of admitted patients. The most common underlying diseases were diabetes (47.8%) and cardiovascular diseases (42.2%). The result of the present study showed that the mortality rate in hospitalized patients with CAP is correlated with age ≥ 65 years (odd ratio (OR) = 6.51), O2 saturation < 90% OR = 8.61, glucose ≥ 250 mg/dL (OR = 9.83), ALT > 58 or AST > 38 U/L (OR = 6.8), serum albumin < 2.2 mg/dL (OR = 6.62), and rise in WBC count > 13,000/mm3 (OR = 7.14), respectively. Conclusion Our results suggested that age over 65 years, low O2 saturation, high blood glucose, elevated liver enzymes, low serum albumin, and rise in WBC count are the main clinical factors of mortality in elderly hospitalized patients with CAP. Future studies should seek the impact of these clinical findings and risk factors of CAP in early treatment, the costs of treatment, and the mortality rate.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Predictors of mortality in hospitalized elderly patients with community-acquired pneumonia: A three-year retrospective clinical evaluation

Arian

Oghazian

2022

Preprint

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Measuring independent transfer ability using lower limb loading force in a sitting position in the impaired elderly

Hara¹,

Kubo²

2010

Jpn J Geriat

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Death in geriatric pneumonia patients

Ikeda

Aiba²,

Sakurai³

et al. 2011

Jpn J Geriat

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When assessing disease severity in elderly pneumonia patients, the JRSGMP may not allow accurate judgment of convalescence. It is very likely that dementia and cerebrovascular diseases cause dysphagia. Furthermore, very elderly patients are frequently at risk of developing aspiration pneumonia during treatment. For these reasons, it may be necessary to add the condition of a patient with these complications to the disease severity rating or convalescence prediction factor when considering the outcome of pneumonia in very elderly patients. It is necessary to consider all these factors when treating such episodes.

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Clinical analysis of mortality in elderly patients with community-acquired pneumonia

Cited by 3 publications

References 10 publications

Predictors of mortality in hospitalized elderly patients with community-acquired pneumonia: A three-year retrospective clinical evaluation

Predictors of mortality in hospitalized elderly patients with community-acquired pneumonia: A three-year retrospective clinical evaluation

Measuring independent transfer ability using lower limb loading force in a sitting position in the impaired elderly

Death in geriatric pneumonia patients

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