Journals / Erciyes Medical Journal / 2022 / Cilt: 44 - Sayı: 1

Comparison of Nursing Home-acquired Pneumonia and Community-acquired Pneumonia and Evaluation of Factors Predicting Mortality

Pages
68–76
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The risk level and rates of intensive care admission and mortality were significantly higher in the NHAP group (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The number of admissions to the emergency department (ED) of elderly patients who reside in nursing homes with a diagnosis of pneumonia continues to grow.
📊
Key Findings & Data:SPSS for Windows, Version 16.0 software (SPSS Inc., Chicago, IL, USA) was used to perform the statistical analysis.
💡
Conclusion & Impact:The risk level and rates of intensive care admission and mortality were significantly higher in the NHAP group (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The number of admissions to the emergency department (ED) of elderly patients who reside in nursing homes with a diagnosis of pneumonia continues to grow. This study was designed to assess factors that predicted mortality in the patient group defined as those with nursing home-acquired pneumonia (NHAP). Materials and Methods: This was a prospective, observational study conducted in a hospital ED. The data of nursing home patients admitted to the ED with a pneumonia presentation (NHAP) were compared with those of patients with communityacquired pneumonia (CAP). Factors that predicted mortality in the NHAP group were analyzed. SPSS for Windows, Version 16.0 software (SPSS Inc., Chicago, IL, USA) was used to perform the statistical analysis. Results: A total of 98 patients >18 years of age, 36 of whom were NHAP patients, were included in the research. The risk level and rates of intensive care admission and mortality were significantly higher in the NHAP group (p

🔖

Cite This Article

EREL, Ö., YENCİLEK, H. İ., ŞENER, A., ÖZHASENEKLER, A., ERGİN, M., GÜNAYDIN, G. P., NEŞELİOĞLU, S., GÖKHAN, Ş. (2022). Comparison of Nursing Home-acquired Pneumonia and Community-acquired Pneumonia and Evaluation of Factors Predicting Mortality. Erciyes Medical Journal, Cilt: 44 - Sayı: 1, 68–76. https://ajindex.com/articles/502104

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Pereira R, Oliveira S, Almeida A. Nursing home-acquired pneumonia presenting at the emergency department. Intern Emerg Med 2016; 11(7): 999–1004
  2. Anand N, Kollef MH. The alphabet soup of pneumonia: CAP, HAP, HCAP, NHAP, and VAP. Semin Respir Crit Care Med 2009; 30(1): 3–9
  3. Liu C, Cao Y, Lin J, Ng L, Needleman I, Walsh T, et al. Oral care measures for preventing nursing home-acquired pneumonia. Cochrane Database Syst Rev 2018; 9(9): CD012416
  4. Ayaz SI, Haque N, Pearson C, Medado P, Robinson D, Wahl R, et al. Nursing home-acquired pneumonia: course and management in the emergency department. Int J Emerg Med 2014; 7: 19
  5. Russo A, Picciarella A, Russo R, Sabetta F. Clinical features, therapy and outcome of patients hospitalized or not for nursing-home acquired pneumonia. J Infect Chemother 2020; 26(8): 807–12
  6. Şener A, Kurtoğlu Çelik G, Özhasenekler A, Gökhan Ş, Tanrıverdi F, Kocaoğlu S, et al. Evaluation of dynamic thiol/disulfide homeostasis in adult patients with community-acquired pneumonia. Hong Kong J Emergency Med 2019; 26(6): 343–50
  7. Dhawan N, Pandya N, Khalili M, Bautista M, Duggal A, Bahl J, et al. Predictors of mortality for nursing home-acquired pneumonia: a systematic review. Biomed Res Int 2015; 2015: 285983
  8. Erel O, Neselioglu S. A novel and automated assay for thiol/disulphide homeostasis. Clin Biochem 2014; 47(18): 326–32
  9. Lim WS, van der Eerden MM, Laing R, Boersma WG, Karalus N, et al. Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study. Thorax 2003; 58(5): 377–82
  10. Fine MJ, Auble TE, Yealy DM, Hanusa BH, Weissfeld LA, Singer DE, et al. A prediction rule to identify low-risk patients with communityacquired pneumonia. N Engl J Med 1997; 336(4): 243–50
  11. Polverino E, Dambrava P, Cillóniz C, Balasso V, Marcos MA, Esquinas C, et al. Nursing home-acquired pneumonia: a 10 year single-centre experience. Thorax 2010; 65(4): 354–9. Erratum in: Thorax 2010; 65(9): 844
  12. Ma HM, Wah JL, Woo J. Should nursing home-acquired pneumonia be treated as nosocomial pneumonia? J Am Med Dir Assoc 2012; 13(8): 727–31
  13. El-Solh AA, Alhajhusain A, Abou Jaoude P, Drinka P. Validity of severity scores in hospitalized patients with nursing home-acquired pneumonia. Chest 2010; 138(6): 1371–6
  14. Sankaran P, Kamath AV, Tariq SM, Ruffell H, Smith AC, Prentice P,et al. Are shock index and adjusted shock index useful in predicting mortality and length of stay in co