Mortality and Prognostic Prediction in Very Elderly Patients With Severe Pneumonia
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Baek, Moon Seong | - |
dc.contributor.author | Park, Sojung | - |
dc.contributor.author | Choi, Jeong-Hee | - |
dc.contributor.author | Kim, Cheol-Hong | - |
dc.contributor.author | Hyun, In Gyu | - |
dc.date.accessioned | 2024-01-09T14:32:22Z | - |
dc.date.available | 2024-01-09T14:32:22Z | - |
dc.date.issued | 2020-12 | - |
dc.identifier.issn | 0885-0666 | - |
dc.identifier.issn | 1525-1489 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/70431 | - |
dc.description.abstract | Introduction: Although prognostic prediction scores for pneumonia such as CURB-65 score or pneumonia severity index (PSI) are widely used, there were a few studies in very elderly patients. The aim of the study was to validate prognostic prediction scores for severe pneumonia and investigate risk factors associated with in-hospital mortality of severe pneumonia in very elderly patients. Methods: During the 6-year study period (from October 2012 to May 2018), 160 patients aged 80 or older admitted to medical intensive unit were analyzed retrospectively. Pneumonia severity was evaluated using CURB-65 score, PSI, Sequential Organ Failure Assessment (SOFA) scores, A-DROP, I-ROAD, UBMo index, SOAR score, and lactate. The outcome was in-hospital mortality. Results: The median age was 85 years (interquartile range: 82-88). Nursing home residents accounted for 71 (44.4%) and in-hospital mortality was 40 (25.0%). Logistic regression showed that chronic lung, mechanical ventilation, hemodialysis, and albumin were associated with in-hospital mortality of pneumonia. Using the receiver operating characteristics curve for predicting mortality, the area under the curve in pneumonia was 0.65 for the SOFA score, 0.61 for the CURB-65 score, 0.52 for the PSI, 0.58 for the A-DROP, 0.52 for the I-ROAD, 0.54 for UBMo index, 0.59 for SOAR score, and 0.65 for lactate. Conclusion: The performances of the CURB-65 and PSI are not excellent in very elderly patients with pneumonia. Further studies are needed to improve the performance of prognostic prediction scores in elderly patients. | - |
dc.format.extent | 6 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | SAGE PUBLICATIONS INC | - |
dc.title | Mortality and Prognostic Prediction in Very Elderly Patients With Severe Pneumonia | - |
dc.type | Article | - |
dc.identifier.doi | 10.1177/0885066619826045 | - |
dc.identifier.bibliographicCitation | JOURNAL OF INTENSIVE CARE MEDICINE, v.35, no.12, pp 1405 - 1410 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000590190300006 | - |
dc.identifier.scopusid | 2-s2.0-85060646182 | - |
dc.citation.endPage | 1410 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 1405 | - |
dc.citation.title | JOURNAL OF INTENSIVE CARE MEDICINE | - |
dc.citation.volume | 35 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | pneumonia | - |
dc.subject.keywordAuthor | severity index | - |
dc.subject.keywordAuthor | elderly | - |
dc.subject.keywordAuthor | mortality | - |
dc.subject.keywordPlus | COMMUNITY-ACQUIRED PNEUMONIA | - |
dc.subject.keywordPlus | CARE-ASSOCIATED PNEUMONIA | - |
dc.subject.keywordPlus | HOSPITALIZED-PATIENTS | - |
dc.subject.keywordPlus | OLDER PATIENTS | - |
dc.subject.keywordPlus | GUIDELINES | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | UPDATE | - |
dc.subject.keywordPlus | ADULTS | - |
dc.subject.keywordPlus | AGE | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Critical Care Medicine | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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