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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Objective: This study investigated the characteristics of elderly pneumonia patients transferred from long-term care hospitals (LTCH). Methods: The initial emergency department (ED) data of patients, who were transferred from other hospitals and over 65 years old and hospitalized from 2014 to 2018 for pneumonia management through the ED, were extracted from the electronic medical records. The differences in the initial status and prognosis between the LTCH group and non-LTCH group were compared, and the initial ED variables that affect the in-hospital mortality of the LTCH group were investigated. Results: The total number of patients was 1,032; 423 (41.0 %) were included in the LTCH group. Compared to the non- LTCH group, the following severity indices, some laboratory data, and mortality were worse in the LTCH group: systemic inflammatory reaction syndrome (SIRS) criteria ≥2 (65.0% vs. 56.7%, P=0.008), quick Sequential Organ Failure Assessment score ≥2 (48.2% vs. 20.4%, P<0.001), CURB-65 (Confusion, Urea nitrogen, Respiration rate, Blood pressure, Age≥65 years) criteria ≥3 (51.8% vs. 29.2%, P<0.001), pneumonia severity index (PSI) class ≥4 (86.5% vs. 61.2%, P<0.001), modified early warning score ≥5 (38.8% vs. 18.4%, P<0.001), serum albumin (median [IQR], 2.6 [2.2- 2.9] g/dL vs. 2.8 [2.4-3.2] g/dL; P<0.001), blood urea nitrogen/albumin (B/A) ratio (median [IQR], 8.0 [5.0-12.8] vs. 6.6 [4.4-10.4]; P<0.001), and in-hospital mortality (26.0% vs. 15.9%, P<0.001). Multivariate regression analysis revealed the albumin grade, B/A ratio grade, PSI class, and SIRS criteria to independently affect the in-hospital mortality of the LTCH group. Conclusion: The LTCH group had poorer initial severity indices and higher in-hospital mortality than the non-LTCH group. In addition, the albumin grade, B/A ratio grade, could be used for the severity index of pneumonia patients transferred from the LTCH.
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등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
World Health Organization / 2002 / Active ageing : a policy framework
Statistics Korea / 2017 Statistics on the aged, 2017
Lee JT / 2017 / Nursing hospital status and improvement tasks / KIRI Aging Rev 14:8~16
김경완 / 2016 / 일 권역응급의료센터를 방문하는요양병원 환자들의 특성 및 사망 위험요인 / 지역사회간호학회지 27(4):327~336
Riquelme R / 1996 / Communityacquired pneumonia in the elderly : A multivariate analysis of risk and prognostic factors / Am J Respir Crit Care Med 154:1450~1455
Statistics Korea / 2017 Statistics on the aged, 2017
Lee JT / 2017 / Nursing hospital status and improvement tasks / KIRI Aging Rev 14:8~16
김경완 / 2016 / 일 권역응급의료센터를 방문하는요양병원 환자들의 특성 및 사망 위험요인 / 지역사회간호학회지 27(4):327~336
Riquelme R / 1996 / Communityacquired pneumonia in the elderly : A multivariate analysis of risk and prognostic factors / Am J Respir Crit Care Med 154:1450~1455
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