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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

DC Field Value Language
dc.contributor.author박명숙-
dc.contributor.author최스미-
dc.date.accessioned2009-09-16T04:55:59Z-
dc.date.available2009-09-16T04:55:59Z-
dc.date.issued2008-
dc.identifier.citation노인간호학회지, 10(2),142-151en
dc.identifier.issn1229-5299-
dc.identifier.urihttps://hdl.handle.net/10371/9468-
dc.description.abstractPurpose: 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.
en
dc.language.isokoen
dc.publisher노인간호학회 = Korean Gerontological Nursing Societyen
dc.subject폐렴en
dc.subject흡인en
dc.subject지역사회획득 폐렴en
dc.subject노인en
dc.subjectPneumoniaen
dc.subjectAspirationen
dc.subjectCommunity acquired infectionsen
dc.subjectelderlyen
dc.title흡인성 폐렴 노인과 지역사회획득 폐렴 노인의 임상양상 비교en
dc.title.alternativeComparison of Pneumonia Severity of Illness Score and Clinical Features in Elderly Patients with Aspiration Pneumonia and Community Acquired Pneumoniaen
dc.typeArticleen
dc.contributor.AlternativeAuthorPark, Myung-Sook-
dc.contributor.AlternativeAuthorChoi-Kwon, Smi-
Appears in Collections:
College of Nursing (간호대학)Dept. of Nursing (간호학과)Journal Papers (저널논문_간호학과)
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