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Risk for prolonged hospitalization and mortality in aged community acquired pneumonia patients: a retrospective study in Japan

発表形態:
原著論文
主要業績:
主要業績
単著・共著:
共著
発表年月:
2020年11月
DOI:
10.3164/jcbn.20-85
会議属性:
指定なし
査読:
有り
リンク情報:

日本語フィールド

著者:
*Matsuo A, Takamori A, Kawaura F, Iwanaga Y, Ono H, Kobayashi-Watanabe N, Kuwahara M, Takagi K, Nagasawa Z, Fujimoto K, Hayashi S.
題名:
Risk for prolonged hospitalization and mortality in aged community acquired pneumonia patients: a retrospective study in Japan
発表情報:
J Clin Biochem Nutr 巻: 67 号: 3 ページ: 302-306
キーワード:
概要:
The present study aimed to reveal; i) risk for prolonged hospitalization and mortality in aged community acquired pneumonia patients, and ii) whether swallowing ability was related to re-hospitalization. The present retrospective study included 92 patients older than 75 years hospitalized with community acquired pneumonia in Takagi Hospital between April 2017 and March 2018. The patients were classified into 3 groups; discharged within 17 days (group I): hospitalized more than 18 days (group II): died during the hospitalization (group III). Swallowing ability was evaluated if available. Univariate analysis indicated males and body mass index (BMI) in group I (n = 24) were higher than group II (n = 46). Group III (n = 22) had low serum albumin, low BMI, and severe disease progression compared with group I. Multivariate analysis demonstrated that group II BMI was lower than group I [odds ratio (OR) = 1.18, p = 0.042]. Group III had lower serum albumin level compared with group I (OR = 81.01, p = 0.025). Diabetes mellitus (p = 0.009), but not swallowing disability, was risk for readmission. Malnutrition represented by low albumin enhanced mortality rate in the pneumonia patients, and low BMI and diabetes mellitus might increase the pneumonia risk.
抄録:

英語フィールド

Author:
*Matsuo A, Takamori A, Kawaura F, Iwanaga Y, Ono H, Kobayashi-Watanabe N, Kuwahara M, Takagi K, Nagasawa Z, Fujimoto K, Hayashi S.
Title:
Risk for prolonged hospitalization and mortality in aged community acquired pneumonia patients: a retrospective study in Japan
Announcement information:
J Clin Biochem Nutr Vol: 67 Issue: 3 Page: 302-306
An abstract:
The present study aimed to reveal; i) risk for prolonged hospitalization and mortality in aged community acquired pneumonia patients, and ii) whether swallowing ability was related to re-hospitalization. The present retrospective study included 92 patients older than 75 years hospitalized with community acquired pneumonia in Takagi Hospital between April 2017 and March 2018. The patients were classified into 3 groups; discharged within 17 days (group I): hospitalized more than 18 days (group II): died during the hospitalization (group III). Swallowing ability was evaluated if available. Univariate analysis indicated males and body mass index (BMI) in group I (n = 24) were higher than group II (n = 46). Group III (n = 22) had low serum albumin, low BMI, and severe disease progression compared with group I. Multivariate analysis demonstrated that group II BMI was lower than group I [odds ratio (OR) = 1.18, p = 0.042]. Group III had lower serum albumin level compared with group I (OR = 81.01, p = 0.025). Diabetes mellitus (p = 0.009), but not swallowing disability, was risk for readmission. Malnutrition represented by low albumin enhanced mortality rate in the pneumonia patients, and low BMI and diabetes mellitus might increase the pneumonia risk.


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