title: Age group analysis of psychological, physical and functional deterioration in patients hospitalized for pneumonia.
abstract: BACKGROUND
  Hospital admissions due to pneumonia range from 1.1 to 4 per 1,000 patients and this figure increases with age. Hospitalization causes a decline in functional status. Physical impairment impedes recovery and constitutes a higher risk of disability and mortality in elderly people. The objective of this study is to assess the impact of hospital stay in patients with pneumonia related with age.
  
  
  METHODS
  A total of 116 patients with pneumonia were included in this study, and divided into two age groups:<75 years (n=68) and ≥ 75 years (n=48). Respiratory function, physical function and psychological and emotional profile were evaluated. Pneumonia severity, nutritional status, independence and comorbidities were also assessed.
  
  
  RESULTS
  Statistical analyses revealed significant differences between both age groups in pneumonia severity and comorbidities. Significant improvements between admission and discharge were found in lung function in both groups (p<0.05), while a significant decrease (p<0.05) in strength assessed by dynamometer was found in the ≥75 years group.
  
  
  CONCLUSIONS
  Hospitalization leads to a significant physical impairment in patients admitted for pneumonia. This deterioration increases with age.
authors.affiliation: Departamento de Fisioterapia, Universidad de Granada, Granada, España.
authors.forename: Adelina
authors.initials: A
authors.lastname: Martín-Salvador
authors.affiliation: Departamento de Fisioterapia, Universidad de Granada, Granada, España.
authors.forename: Irene
authors.initials: I
authors.lastname: Torres-Sánchez
authors.affiliation: Servicio de Neumología, Hospital Virgen de las Nieves, Granada, España.
authors.forename: Germán
authors.initials: G
authors.lastname: Sáez-Roca
authors.affiliation: Departamento de Fisioterapia, Universidad de Granada, Granada, España.
authors.forename: Isabel
authors.initials: I
authors.lastname: López-Torres
authors.affiliation: Departamento de Fisioterapia, Universidad de Granada, Granada, España.
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Rodríguez-Alzueta
authors.affiliation: Departamento de Fisioterapia, Universidad de Granada, Granada, España. Electronic address: cvalenza@ugr.es.
authors.forename: Marie Carmen
authors.initials: MC
authors.lastname: Valenza
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000453:epidemiology / Q000209:etiology; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology / Q000209:etiology; D004185:Disability Evaluation; D018450:Disease Progression; D004644:Emotions; D005260:Female; D006760:Hospitalization; D006801:Humans; D007297:Inpatients / Q000523:psychology / Q000706:statistics & numerical data*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D018908:Muscle Weakness / Q000453:epidemiology / Q000209:etiology; D009752:Nutritional Status; D010146:Pain / Q000453:epidemiology / Q000209:etiology; D011014:Pneumonia / Q000453:epidemiology* / Q000503:physiopathology / Q000523:psychology; D011788:Quality of Life; D012129:Respiratory Function Tests; D012720:Severity of Illness Index; D063189:Symptom Assessment; D064232:Visual Analog Scale
keywords: Anciano; Deterioro físico; Elderly population; Hospitalización; Hospitalization; Neumonía; Physical impairment; Pneumonia