title: Incidence and economical effects of pneumonia in the older population living in French nursing homes: design and methods of the INCUR study.
abstract: BACKGROUND
  Among the most burdensome clinical conditions occurring in older persons, respiratory infections are particularly relevant. In fact, the onset of pneumonias is associated with a significant worsening of the individual's global health status and significant increase of healthcare costs. The clinical and economical negative consequences of pneumonia may be particularly evident among the frailest groups of elders, in particular those living in nursing home. Nevertheless, specific research on incidence and economical effects of pneumonia in nursing homes residents is still scarce. In the present article, we present the rationale, the design and the methods of the "Incidence of pNeumonia and related ConseqUences in nursing home Resident (INCUR) study, specifically aimed at filling some of the gaps currently present in the field.
  
  
  METHODS
  INCUR is an observational longitudinal study recruiting 800 residents across 13 randomly selected nursing homes in France. Multidimensional evaluations of participants are conducted at the baseline, mid-term (at 6 months), and end of the study (at 12 months) visits in order to measure and follow-up their physical function, nutrition, cognition, depression, quality of life, and healthcare costs. Incident pneumonia as well as the onset/recurrence of other major health-related events are monitored during the study follow-up.
  
  
  CONCLUSIONS
  The INCUR study will provide valuable information about older persons living in nursing homes. Results from INCUR study may constitute the basis for the development of future preventive campaigns against pneumonia and its consequences.
authors.affiliation: Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France. cesari.m@chu-toulouse.fr.
authors.forename: Laurent
authors.initials: L
authors.lastname: Demougeot
authors.forename: Yves
authors.initials: Y
authors.lastname: Rolland
authors.forename: Stéphane
authors.initials: S
authors.lastname: Gérard
authors.forename: Delphine
authors.initials: D
authors.lastname: Pennetier
authors.forename: Marilyne
authors.initials: M
authors.lastname: Duboué
authors.forename: Bruno
authors.initials: B
authors.lastname: Vellas
authors.forename: Matteo
authors.initials: M
authors.lastname: Cesari
mesh_terms: D000368:Aged; D005260:Female; D005602:France / Q000453:epidemiology; D017048:Health Care Costs; D006299:Health Services for the Aged; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000453:epidemiology* / Q000517:prevention & control; D011788:Quality of Life; D012107:Research Design
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