[Pneumonia in elder institutionalized patients:derivation and/or prognostic classification criterion].
OBJECTIVE
To know the clinical features of nursing home residents with pneumonia comparing with patients with Community-acquired pneumonia and identify the main prognostic index of mortality.


METHODS
Longitudinal prospective study including all the elderly patients hospitalized in Cantoblanco Hospital of Madrid during the year 2001 for pneumonia and classified according to the Fine prognosis index and the SEPAR criteria.


RESULTS
Of the 78 patients with pneumonia, 27 came from Residence, with an average of age of 86.85(+/- 6.43) years old, opposite to 83.11 (+/- 5.87) years in patients with Community acquired pneumonia ( p<0.05). Of all of them, 33,3% belonged to class IV and 66.7% to class V of Fine. Of all the variables studied, only the age (p= 0.03) and the hypoxemia (p= 0.03) were statistical significant.


CONCLUSIONS
Nursing home residents with pneumonia are older and have more prevalence of morbi-mortality than those with Community acquired pneumonia. In our study, the age and the hypoxemia were the two independent prognosis factors associate to more mortality.
Bonilla Rodríguez
A B
AB
Servicio de Medicina Familiar y Comunitaria, Area V. de Servicios de Geriatría y de Medicina Interna V, Hospital Gregorio Marañón H.G.U.G.M./Cantoblanco, Madrid.
Gómez Rodríguez
M J
MJ
Robles Agudo
F
F
Vilalta Castel
E
E
Pedreira Copín
C
C
D000368:Aged; D000369:Aged, 80 and over; D003428:Cross Infection / Q000453:epidemiology*; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D009735:Nursing Homes; D011014:Pneumonia / Q000145:classification / Q000453:epidemiology*; D011379:Prognosis; D011446:Prospective Studies; D012017:Referral and Consultation