SHERP

흡인성 폐렴 노인과 지역사회획득 폐렴 노인의 임상양상 비교
Comparison of Pneumonia Severity of Illness Score and Clinical Features in Elderly Patients with Aspiration Pneumonia and Community Acquired Pneumonia

Cited 0 time in webofscience Cited 0 time in scopus
Authors
박명숙; 최스미
Issue Date
2008
Publisher
노인간호학회 = Korean Gerontological Nursing Society
Citation
노인간호학회지, 10(2),142-151
Keywords
폐렴흡인지역사회획득 폐렴노인PneumoniaAspirationCommunity acquired infectionselderly
Abstract
Purpose: This study was done to identify differences between aspiration pneumonia and community acquired pneumonia (CAP) according to demographic characteristics and medical outcomes for elderly patients.
Method: From January 2004 to December 2007, data were collected from 105 patients (> 65 years old) with aspiration pneumonia and 311 with CAP. General characteristics, pneumonia severity of illness score (PSI score) and medical outcomes were obtained by reviewing the medical records of those patients. Data were analysed using SPSS window 12.0 version statistics package.
Results: The aspiration pneumonia group was older (p<0.05), and more dependent in walking. The incidence of stroke, dementia, Parkinson's disease (p<0.001) and diabetes mellitus (p= 0.027) was higher in the aspiration pneumonia group than in the CAP group. PSI score (121.47 vs 90.65 points), length of hospital stay (17.77 vs 9.94 days) and mortality (17.1 vs 5.1%) were significantly higher in aspiration pneumonia group than in the CAP group. In logistic regression, the factors predicting aspiration pneumonia were Dementia (OR=44.37), Parkinson's disease (OR=18.63), stroke (OR=17.17), confusion (OR=8.62), hypoalbuminemia (OR=2.89).
Conclusion: Aspiration pneumonia was more common in dependent malnourished elderly patients with neuro-degenerative diseases. Special attention has to be paid to these patients to decrease the incidence of aspiration pneumonia in the older population.
ISSN
1229-5299
Language
Korean
URI
http://hdl.handle.net/10371/9468
Files in This Item:
Appears in Collections:
College of Nursing (간호대학)Dept. of Nursing (간호학과)Journal Papers (저널논문_간호학과)
  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse