CAP rates in older adults are rising as a consequence of an overall increase in the elderly population [ Centers for Disease Control and Prevention, ]. Anemia, cancer, heart failure, chronic lung disease, liver disease, and chronic renal failure independently predicted a day readmission.
Univariate analyses were conducted by Wilcoxon-Mann- illness Charlson-Deyo comorbidity index 1. Adherence to the current guidelines for CAP has a significant beneficial impact on clinical outcomes in elderly patients.
Rapid antigen testing or direct fluorescent antibody testing for influenza can help with consideration of antiviral therapy and may decrease use of antibacterial agents.
The details of these are shown in Table 6. Berg P, Lindhardt BO. The objective of our study to the intensive care unit Prior of care, outcome, and resource use. Table 2 Results of the multivariable regression analysis to identify factors associated with increased day readmissions Full table Timing and causes of day readmissions Of the 5, readmissions, In this study, the age group of patients presenting with community-acquired pneumonia ranged from 66 to 88 years.
Treatment and outcomes of community-acquired pneumonia at miol ; Of the 46, patients who were hospitalized for influenza and survived to discharge, 4, This is shown in Table Weighted, it estimates roughly 35 million discharges However, tle information on age- and sex-specific incidence, patterns of care recent data indicate that in the elderly both the incidence and intensive care unit admission and mechanical ventilationresource mortality of CAP are rising 7.
This is depicted in Table 2.
Distribution of hospital deaths over time. The overall IHM rate was The study cohort included all community-dwelling individuals assigned to the eight participating PHCCs, who were 65 years or older at the start of the study an amount of 11, individuals with a mean age of Along with associated comorbidities and malnutrition, increased age itself is a independent risk factor for increased mortality for CAP in elderly.
The Center for Disease Control CDC reported an estimated minimumand maximumhospitalizations for influenza and related complications between years and in the US 12.
One explanation may be the logistic difficulty of charge status, hospital and intensive care unit ICU LOS, and hospital standardizing the more complex care required for sicker pa- charges.
The selection of the 8 participating PHCCs was not randomised and they were chosen taking into account the existence of electronic clinical registries working since or before. Conclusion Community-acquired pneumonia in elderly patients is a common and serious problem encountered in clinical practice.
Table 1 Baseline characteristics, comorbidities, in-hospital complication, and outcomes of patients in the index-cohort with and without a day readmission Full table Thirty-day readmissions and characteristics of index hospitalizations by readmission status Of the 46, index-group patients, 4, The authors suggested that although the sensitivity of the pneumococcal urinary antigen test is lower in patients who are not bacteremic, the presence of a positive urinary antigen test in a non-bacteremic patient can be helpful for tailoring therapy.
Crit Care Med Among patients hospitalized within 30 days from discharge, 6. None; IV Collection and assembly of data: Thirty-day readmissions were associated with significant healthcare impact with higher costs of care and considerable mortality.
Men were more likely to be hospitalized with CAP, more likely to receive intensive care or life support, and more likely to die. While a microbiological diagnosis was not made in most non-influenza pneumonias Baseline patient characteristics identified in the index cohort were age, sex, primary expected payer, median household income, comorbidities anemia, atrial fibrillation, cancer, chronic lung disease, coagulopathy, depression, drug abuse, dementia, diabetes mellitus, hypertension, hypothyroidism, fluid-electrolyte imbalances, liver disease, obesity, other neurological disorders, paralysis, psychoses, peripheral vascular disease, pulmonary circulation disorders, chronic renal failure, and heart failurein-hospital complications [septicemia and shock, AMI, acute kidney injury AKIischemic stroke and transient cerebral ischemic events, gastrointestinal hemorrhage, and respiratory failuretype and day of admission, and discharge disposition.
In our study, hospitalizations for heart failure, chronic obstructive pulmonary disease, and asthma were important causes day readmissions.
Scott Watson, and W. While such risk of increased adverse events can increase in-hospital complications, they can also cause readmissions in these patients in the acute phase following influenza infection.
Etiological agents cannot be identified in many cases because of difficulty in collecting sputum in elderly patients, lower yield of culture, and various atypical and difficult to isolate causative organisms. The increased incidence of pneumonia in elderly patients is due to the defects in mechanical clearance of airways, loss of elastic recoil of lungs, decreased strength of respiratory muscle causing decreased effectiveness of coughing, age-related decline in mucociliary clearance, defects in humoral and cell-mediated immunity, and cumulative effects of comorbid chronic diseases and their treatments.This study describes the epidemiology of community-acquired pneumonia (CAP) in elderly Australians for the first time.
Using a case-cohort design, cases with CAP were in-patients aged > or = Using a case–cohort design we examined incremental VE of 23vPPV over and above influenza vaccine against hospitalization with community-acquired pneumonia (HCAP) in two large Australian hospitals.
cases (ICDAM codes for pneumonia: J10–J18) and randomly selected cohort. CONCLUSIONS— In this population-based cohort study, type 2 diabetes was a clear marker of increased mortality from pneumonia, although this was largely explained by differences in.
The best treatment option for hospitalized patients with community-acquired pneumonia (CAP) has not been defined. The effectiveness of β-lactam/fluoroquinolone (BLFQ) versus β-lactam/macrolide (BLM) combinations for the treatment of patients with CAP was evaluated.
Pneumonia is a major medical problem in the very old.
The increased frequency and severity of pneumonia in the elderly is largely explained by the ageing of organ systems (in particular the respiratory tract, immune system, and digestive tract) and the presence of comorbidities due to age-associated diseases.
Hospitalized community-acquired pneumonia in the elderly: an Australian case-cohort study. Low levels of serum cholesterol and albumin and the risk of community-acquired pneumonia in young soldiers. Pneumonia in the elderly (geriatric) population.Download