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  • Title: [Factors related to mortality of aged patients hospitalized with community-acquired pneumonia].
    Author: Ramos Martínez A, Portero Navío JL, Sanz Carabaña P, Dols Juste J, Millán Santos I, Murillas Angoiti J, Gazapo Navarro T.
    Journal: An Med Interna; 1998 Jul; 15(7):353-7. PubMed ID: 9710984.
    Abstract:
    BACKGROUND: Community-acquired pneumonia (CAP) frequently determines inpatient treatment and has a high mortality. It is desirable to know which factors predicts a favorable outcome of elderly patients with CAP. This fact could allow that a growing number of patients could be treated in their home. OBJECTIVE: To investigate the variables related with the survival of hospitalized elderly patients for with CAP. METHODS: We carried out a retrospective study of 158 patients aged more than 65 years, that were admitted to our hospital for CAP. RESULTS: Mean age was 80.3 +/- 8.2 years (66-98 years). Eighty nine (56%) patients were men and 69 (44%) were women. Twenty seven patients (17%) died during their stay in the hospital. By multivariate analysis, independent variables associated with survival were: confusion (p = 0.0001), treatment with H2 receptor antagonists (p = 0.01), respiratory frequency (above 30 per minute, p = 0.01) and arterial pH (below 7.40, p = 0.03). Sensibility and specificity about prediction of survival in elderly patients with PAC who hadn't any variables above pointed out were 0.89 and 0.64, respectively. CONCLUSIONS: Application of this results could help physicians make decisions about hospitalization for elderly patients with PAC.
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