Prognostic factors of mortality in elderly with community acquired pneumonia
Background/Aim. Community acquired pneumonia in elderly has specific clinical aspect and higher mortality in relation to younger patients. According to specific pneumonia severity assessment on admission and its importance in proper prediction of clinical course and outcome, the aim of this study wa...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Military Health Department, Ministry of Defance, Serbia
2010-01-01
|
| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501005364D.pdf |
| _version_ | 1811273108950089728 |
|---|---|
| author | Đordjević Ivanka Pejčić Tatjana Stanković Ivana Golubović Slavica Ćirić Zorica |
| author_facet | Đordjević Ivanka Pejčić Tatjana Stanković Ivana Golubović Slavica Ćirić Zorica |
| author_sort | Đordjević Ivanka |
| collection | DOAJ |
| description | Background/Aim. Community acquired pneumonia in elderly has specific clinical aspect and higher mortality in relation to younger patients. According to specific pneumonia severity assessment on admission and its importance in proper prediction of clinical course and outcome, the aim of this study was defining prognostic factors of mortality. Methods. This study included 240 patients aged ≥ 65 years with community acquired pneumonia. On admission, demographic characteristics, underlying diseases, physical symptoms and findings, laboratory values, chest radiography and oxygen blood saturation (SaO2) were analyzed. Multivariate analysis was used to identify characteristic prognostic factors which showed a statistical significance in relation to mortality. Results. Altered mental status, respiratory frequency ≥ 23/min and the presence of bilateral pneumonic infiltrates were defined as the most important prognostic factors of mortality (p < 0.001). These factors displayed 57.89% sensitivity, 100% specificity and 93.33% accuracy. Conclusion. The presence of identified characteristic prognostic factors on admission pointed out an adverse clinical course and outcome of community acquired pneumonia in elderly. Age and sex were not significantly associated with mortality. |
| first_indexed | 2024-04-12T22:53:26Z |
| format | Article |
| id | doaj.art-4eebc8de86cc46b189dcab6c48eb43c0 |
| institution | Directory Open Access Journal |
| issn | 0042-8450 |
| language | English |
| last_indexed | 2024-04-12T22:53:26Z |
| publishDate | 2010-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-4eebc8de86cc46b189dcab6c48eb43c02022-12-22T03:13:17ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502010-01-0167536436810.2298/VSP1005364DPrognostic factors of mortality in elderly with community acquired pneumoniaĐordjević IvankaPejčić TatjanaStanković IvanaGolubović SlavicaĆirić ZoricaBackground/Aim. Community acquired pneumonia in elderly has specific clinical aspect and higher mortality in relation to younger patients. According to specific pneumonia severity assessment on admission and its importance in proper prediction of clinical course and outcome, the aim of this study was defining prognostic factors of mortality. Methods. This study included 240 patients aged ≥ 65 years with community acquired pneumonia. On admission, demographic characteristics, underlying diseases, physical symptoms and findings, laboratory values, chest radiography and oxygen blood saturation (SaO2) were analyzed. Multivariate analysis was used to identify characteristic prognostic factors which showed a statistical significance in relation to mortality. Results. Altered mental status, respiratory frequency ≥ 23/min and the presence of bilateral pneumonic infiltrates were defined as the most important prognostic factors of mortality (p < 0.001). These factors displayed 57.89% sensitivity, 100% specificity and 93.33% accuracy. Conclusion. The presence of identified characteristic prognostic factors on admission pointed out an adverse clinical course and outcome of community acquired pneumonia in elderly. Age and sex were not significantly associated with mortality.http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501005364D.pdfpneumoniaagedprognosismortalityrisk factors |
| spellingShingle | Đordjević Ivanka Pejčić Tatjana Stanković Ivana Golubović Slavica Ćirić Zorica Prognostic factors of mortality in elderly with community acquired pneumonia Vojnosanitetski Pregled pneumonia aged prognosis mortality risk factors |
| title | Prognostic factors of mortality in elderly with community acquired pneumonia |
| title_full | Prognostic factors of mortality in elderly with community acquired pneumonia |
| title_fullStr | Prognostic factors of mortality in elderly with community acquired pneumonia |
| title_full_unstemmed | Prognostic factors of mortality in elderly with community acquired pneumonia |
| title_short | Prognostic factors of mortality in elderly with community acquired pneumonia |
| title_sort | prognostic factors of mortality in elderly with community acquired pneumonia |
| topic | pneumonia aged prognosis mortality risk factors |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501005364D.pdf |
| work_keys_str_mv | AT đordjevicivanka prognosticfactorsofmortalityinelderlywithcommunityacquiredpneumonia AT pejcictatjana prognosticfactorsofmortalityinelderlywithcommunityacquiredpneumonia AT stankovicivana prognosticfactorsofmortalityinelderlywithcommunityacquiredpneumonia AT golubovicslavica prognosticfactorsofmortalityinelderlywithcommunityacquiredpneumonia AT ciriczorica prognosticfactorsofmortalityinelderlywithcommunityacquiredpneumonia |