Predictors of Outcomes of Community Acquired Pneumonia in Egyptian Older Adults

Abstract

Background: Community-acquired pneumonia (CAP) is an acute disease that causes high mortality in the elderly, and is a common cause of medical admission. Poor prognostic factors of CAP include advancing age, multiple co morbid illnesses, poor premorbid functional status and severity of pneumonia. Objectives: A prospective observational study was conducted to determine the predictors of outcomes of (CAP) in Egyptian older adults. Subjects and Methods: 170 elderly patients; 72 males and 98 females were recruited from Ain Shams University Hospitals, diagnosed with CAP and required admission to the hospital for treatment. Tools applied were: Comprehensive Geriatric Assessment, Pneumonia Specific Risk Index (PSI), CURB-65, The Charlson Comorbidity Index (CCI), and Barthel Index (BI). Results: CURB 65 and PSI showed significant differences for all the outcomes (length of stay, ICU admission, ventilation and mortality). Using the logistic regression analysis, BI was found to be a significant predictor for the length of hospital stay (