Risk for prolonged hospitalization and mortality in aged community acquired pneumonia patients: a retrospective study in Japan.
Risk for prolonged hospitalization and mortality in aged community acquired pneumonia patients: a retrospective study in Japan.
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DOI：
10.3164/jcbn.20-85
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发表时间：
2020-11
影响因子：
2.4
通讯作者：
Hayashi S
中科院分区：
文献类型：
--
作者：
Matsuo A;Takamori A;Kawaura F;Iwanaga Y;Ono H;Kobayashi-Watanabe N;Kuwahara M;Takagi K;Nagasawa Z;Fujimoto K;Hayashi S
本研究旨在揭示；1)老年社区获得性肺炎患者住院时间延长和死亡率的风险；2)吞咽能力是否与再次住院有关。本回顾性研究纳入了2017年4月至2018年3月期间在高木医院住院的92例75岁以上社区获得性肺炎患者。将患者分为3组；17天内出院（第一组）：住院18天以上（第二组）：住院期间死亡（第三组）。如果可以，评估吞咽能力。单因素分析显示，I组（n = 24）男性和身体质量指数（BMI）高于II组（n = 46）。与I组相比，III组（n = 22）血清白蛋白较低，BMI较低，疾病进展严重。多因素分析显示，II组BMI低于I组[比值比(OR) = 1.18, p = 0.042]。III组血清白蛋白水平低于I组（OR = 81.01, p = 0.025）。糖尿病（p = 0.009）是再入院的危险因素，吞咽功能障碍除外。以低白蛋白为代表的营养不良增加肺炎患者的死亡率，低BMI和糖尿病可能增加肺炎的风险。
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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影响因子：
4.6
作者：
Suzuki Y;Yoshimura K;Enomoto Y;Yasui H;Hozumi H;Karayama M;Furuhashi K;Enomoto N;Fujisawa T;Nakamura Y;Inui N;Suda T
通讯作者：
Suda T
影响因子：
2.4
作者：
Nonaka S;Fujii S;Hara M;Morita S;Sueoka E;Node K;Fujimoto K
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影响因子：
2.6
作者：
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通讯作者：
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影响因子：
2.2
作者：
Noguchi, Shingo;Yatera, Kazuhiro;Mukae, Hiroshi
通讯作者：
Mukae, Hiroshi
影响因子：
2.2
作者：
Tamayose, Maki;Fujita, Jiro;Kohno, Shigeru
通讯作者：
Kohno, Shigeru