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Community-acquired Pneumonia In The Elderly. Clinical And Nutritional Aspects.

R. Riquelme, A. Torres, M. El-Ebiary, J. Mensa, R. Estruch, M. Ruiz, J. Angrill, N. Soler
Published 1997 · Medicine

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Community-acquired pneumonia (CAP) in the elderly has a different clinical presentation than CAP in other age groups. Confusion, alteration of functional physical capacity, and decompensation of underlying illnesses may appear as unique manifestations. Malnutrition is also an associated feature of CAP in this population. We undertook a study to assess the clinical and nutritional aspects of CAP requiring hospitalization in elderly patients (over 65 yr of age). One hundred and one patients with pneumonia, consecutively admitted to a 1,000-bed teaching hospital over an 8-mo period, were studied (age: 78 +/- 8 yr, mean +/- SD). Nutritional aspects and the mental status of patients with pneumonia were compared with those of a control population (n = 101) matched for gender, age, and date of hospitalization. The main symptoms were dyspnea (n = 71), cough (n = 67), and fever (n = 64). The association of these symptoms with CAP was observed in only 32 patients. The most common associated conditions were cardiac disease (n = 38) and chronic obstructive pulmonary disease (COPD) (n = 30). Seventy-seven (76%) episodes of pneumonia were clinically classified as typical and 24 as atypical. There was no association between the type of isolated microorganism and the clinical presentation of CAP, except for pleuritic chest pain, which was more common in pneumonia episodes caused by classical microorganisms (p = 0.02). This was confirmed by a multivariate analysis (relative risk [RR] = 11; 95% confidence interval [CI]: 1.7 to 65; p = 0.0099). The prevalence of chronic dementia was similar in the pneumonia cohort (n = 25) and control group (n = 18) (p = 0.22). However, delirium or acute confusion were significantly more frequent in the pneumonia cohort than in controls (45 versus 29 episodes; p = 0.019). Only 16 patients with pneumonia were considered to be well nourished, as compared with 47 control patients (p = 0.001). Kwashiorkor-like malnutrition was the predominant type of malnutrition (n = 65; 70%) in the pneumonia patients as compared with the control patients (n = 31; 31%) (p = 0.001). The observed mortality was 26% (n = 26). Pleuritic chest pain is the only clinical symptom that can guide an empiric therapeutic strategy in CAP (typical versus atypical pneumonia). Both delirium and malnutrition were very common clinical manifestations of CAP in our study population.
This paper references
10.1097/00003246-198411000-00012
A simplified acute physiology score for ICU patients
J. Gall (1984)
10.1159/000212648
Lower respiratory tract infections in an acute geriatric male ward: a one-year prospective surveillance.
J. Andrews (1984)
10.1093/AJCN/44.4.449
Fever and malnutrition: endogenous pyrogen/interleukin-1 in malnourished patients.
C. Kauffman (1986)
10.1378/CHEST.93.2.318
Nosocomial pneumonia. A multivariate analysis of risk and prognosis.
R. Celis (1988)
Pneumonia due to Legionella pneumophila and pneumococcal pneumonia: similarities and differences on presentation.
A. Granados (1989)
10.1111/j.1532-5415.1989.tb02268.x
Clinical Aspects of Pneumonia in the Elderly Veteran
C. Harper (1989)
10.1097/00005792-199009000-00004
New and Emerging Etiologies for Community‐Acquired Pneumonia with Implications for Therapy: A Prospective Multicenter Study of 359 Cases
Guo-dong Fang (1990)
10.1136/thx.45.4.254
A hospital study of community acquired pneumonia in the elderly.
P. Venkatesan (1990)
10.1164/AJRCCM/144.2.312
Severe community-acquired pneumonia. Epidemiology and prognostic factors.
A. Torres (1991)
Slowly resolving, chronic, and recurrent pneumonia.
S. Kirtland (1991)
Community-acquired pneumonia in the elderly patient. Clinical features, epidemiology, and treatment.
Granton Jt (1993)
10.1016/S0025-7125(16)30221-8
Diet in the elderly. Needs and risks.
N. Hoffman (1993)
10.4065/70.10.989
Delirium in elderly patients: evaluation and management.
T. Rummans (1995)
10.1183/09031936.95.08111929
Nosocomial and community-acquired Legionella pneumonia: clinical comparative analysis.
M. Pedro-Botet (1995)
10.1164/AJRCCM.154.5.8912763
Community-acquired pneumonia in the elderly: A multivariate analysis of risk and prognostic factors.
R. Riquelme (1996)



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10.4269/ajtmh.20-1393
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10.31832/SMJ.779500
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Veysel Suzan (2021)
10.1038/s41598-021-86854-3
Frailty is associated with susceptibility and severity of pneumonia in older adults (A JAGES multilevel cross-sectional study)
K. Iwai-Saito (2021)
10.1371/journal.pone.0249399
Diagnostic performance of artificial intelligence model for pneumonia from chest radiography
T. Kwon (2021)
10.21203/RS.3.RS-152951/V1
Frailty is Associated with Susceptibility to and Severity of Pneumonia in Functionally-independent Community-dwelling Older Adults: A JAGES Multilevel Cross-sectional Study
Kousuke Iwai-Saito (2021)
10.20944/preprints202008.0382.v1
Nutritional Risk Screening Tools for Elderly Patients with COVID-19: A Systematic Review
David Franciole Oliveira Silva (2020)
10.1183/16000617.0126-2019
Community-acquired pneumonia in critically ill very old patients: a growing problem
C. Cillóniz (2020)
10.17265/2328-2150/2020.11.004
Correlation between Serum C-Reactive Protein Levels and CURB-65 in Elderly Patients With Community-Acquired Pneumonia
William Nseir (2020)
10.1177/1024907920923919
Controlling Nutritional Status score: A novel prognostic marker for patients with community-acquired pneumonia
B. Yıldırım (2020)
10.1097/RUQ.0000000000000499
Lung Ultrasonography as an Accurate Diagnostic Method for the Diagnosis of Community-Acquired Pneumonia in the Elderly Population
N. Buda (2020)
10.3390/jcm9103148
Trajectories of Hospitalization in COVID-19 Patients: An Observational Study in France
P. Böelle (2020)
10.3126/nmcj.v22i1-2.29995
Clinical, Bacteriological and Radiological Study of Community Acquired Pneumonia Cases at Tertiary Medical Center in Kathmandu, Nepal
S. Shah (2020)
10.1007/978-981-15-4506-1_2
Clinical Significance of Aspiration Pneumonia in All the Pneumonia Therapy: The Impact of Aspiration Pneumonia on the Therapeutic Approach for All Pneumonia
K. Yatera (2020)
10.3904/kjim.2018.037
Prognostic significance of malnutrition for long-term mortality in community-acquired pneumonia: a propensity score matched analysis
H. J. Yeo (2019)
10.1007/s00455-019-10063-4
Impact of Multiple Texture-Modified Diets on Oral Intake and Nutritional Status in Older Patients with Pneumonia: A Retrospective Cohort Study
A. Shimizu (2019)
eriatric Assessment and Prognostic Factors of Mortality in Very lderly Patients With Community-Acquired Pneumonia
M. Márquez (2018)
10.1152/physrev.00032.2017
Integrative Physiology of Pneumonia.
L. Quinton (2018)
10.1371/journal.pone.0195813
Tooth loss and pneumonia mortality: A cohort study of Japanese dentists
S. Suma (2018)
Defining the mechanisms underlying reduced immunity to Streptococcus pneumonia with age
Mariana Torrente Gonçalves (2018)
ME12_OA_Personal edit
Yousuf Aziz Khan (2018)
10.1016/j.idc.2017.07.015
Bacterial Pneumonia in Older Adults
Oryan Henig (2017)
10.17037/PUBS.04645495
The use of linked electronic health data to investigate the burden and outcomes of community-acquired pneumonia among older individuals in the United Kingdom.
E. R. Millett (2017)
10.21037/jtd.2017.05.31
South African guideline for the management of community-acquired pneumonia in adults.
T. Boyles (2017)
10.1080/14656566.2017.1340940
Pharmacotherapy for community-acquired pneumonia in the elderly
D. Viasus (2017)
10.1007/978-3-319-31831-8_27
Pulmonary and Critical Care Medicine
D. Kruse (2017)
10.1016/B978-0-12-805417-8.00001-9
Innate and Adaptive Immunity
Priyal N Patel (2017)
10.1007/978-3-319-32700-6_10-1
Pneumonia in Geriatric Patients
N. Nagaratnam (2017)
10.1016/j.emc.2016.04.005
Sepsis and Other Infectious Disease Emergencies in the Elderly.
S. Liang (2016)
10.1007/5584_2015_184
Growing Antibiotic Resistance in Fatal Cases of Staphylococcal Pneumonia in the Elderly.
J. Yayan (2016)
Pneumonia in the elderly
Maria Ferreira Rodrigues Figueiredo (2016)
Detection of bacterial infections using PCT and CRP in elderly emergency room patients
M. Hortmann (2016)
10.1080/17476348.2016.1240037
Clinical management of community acquired pneumonia in the elderly patient
C. Cillóniz (2016)
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