کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3466077 1596538 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
An investigation of multimorbidity measures as risk factors for pneumonia in elderly frail patients admitted to hospital
ترجمه فارسی عنوان
تحقیق در مورد عوامل مؤثر بر بیماری سل مزمن به عنوان عوامل خطر برای پنومونی در بیماران مبتلا به ضعف سالخوردگان بستری در بیمارستان
کلمات کلیدی
ذات الریه، چند بیماری همبودی، وجود همزمان دو بیماری، فرهیخته سالمند، مقیاس امتیاز بیمار جمع آوری شده، عامل خطر
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
چکیده انگلیسی


• Multimorbidity is an independent risk factor for pneumonia in the elderly.
• CIRS Comorbidity Score may be useful to define this risk.
• COPD and dementia are the main contributors to this association.
• Traditional risk factors, like cancer or diabetes, play a minor role in this population.

ObjectivesTo investigate the association of different chronic comorbidities, considered singularly and together in Cumulative Illness Rating Scale (CIRS) indexes, with pneumonia diagnosis in a group of elderly frail hospitalized patients.Design and methodsWith a retrospective cohort design, all clinical records of frail (Rockwood ≥ 5) nonterminal patients ≥ 65 years old acutely admitted over a 8-month span in an internal medicine ward were evaluated. Pneumonia status and its categorization (community-acquired, CAP, vs healthcare-associated, HCAP) were defined according to chest radiology findings and validated criteria. Chronic comorbidities, CIRS Comorbidity Score and CIRS Severity Index were collected for each participant through a standardized methodology. Multivariate logistic regression models were applied to assess the association of each comorbid condition or scores with pneumonia.Results1199 patients (546 M, median age 81.9, IQR 72.8–87.9 years), of whom 239 with pneumonia (180 CAP, 59 HCAP) were evaluated. CIRS Comorbidity Score was significantly associated with pneumonia, both at an age- and sex-adjusted model and at a multivariate model (OR for each unitary increase 1.03, 95% CI 1.001–1.062, p = 0.04), together with provenience from nursing home (OR 1.96, 95% CI 1.41–2.73, p < 0.001). Among single comorbidities, only COPD (OR 2.7, 95% CI 1.9–3.6, p < 0.001) and dementia (OR 2.3, 95% CI 1.7–3.3, p < 0.001) were associated with pneumonia, while stroke, cancer, cardiovascular, chronic liver and kidney disease were not.ConclusionsIn a small cohort of elderly frail hospitalized patients, measures of multimorbidity, like CIRS, are significantly associated with the risk of pneumonia. COPD and dementia are the main conditions concurring to define this risk.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Internal Medicine - Volume 28, March 2016, Pages 102–106
نویسندگان
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