Infectious diseases and mortality among US nursing home residents.
Data collected in the 1985 National Nursing Home Survey were analyzed to identify risk factors for infections and mortality and to explore their relationship in US nursing homes. An infection was recorded in 166,609 (14%) discharges. Risk of pneumonia was found to be higher among bedbound patients (54.5 vs 13.1 per 100 discharges); urinary tract and other infections were most frequent among residents with indwelling catheters (6.6 vs 1.0 per 100 discharges). Residents with pneumonia were more likely than those with other infections to die (35% vs 28%), or be discharged to hospitals if alive (94% vs 66%). Thus, immobility and catheterization were associated with infections in US nursing homes, and pneumonia was found to contribute to mortality.
Beck-Sague
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Hospital Infections Program, Centers for Disease Control and Prevention, Atlanta, GA 30333.
Banerjee
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Jarvis
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D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001510:Bed Rest / Q000009:adverse effects; D002408:Catheters, Indwelling / Q000009:adverse effects; D002648:Child; D002675:Child, Preschool; D003141:Communicable Diseases / Q000401:mortality*; D003428:Cross Infection / Q000401:mortality*; D005260:Female; D006306:Health Surveys; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009309:National Center for Health Statistics, U.S.; D009735:Nursing Homes / Q000706:statistics & numerical data*; D010351:Patient Discharge / Q000706:statistics & numerical data; D011014:Pneumonia / Q000401:mortality; D011159:Population Surveillance; D012307:Risk Factors; D012621:Seasons; D014481:United States / Q000453:epidemiology; D014546:Urinary Catheterization / Q000009:adverse effects; D014552:Urinary Tract Infections / Q000209:etiology / Q000401:mortality