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[Clinical evaluation of bedridden patients with pneumonia receiving home health care].
- Source :
-
Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society [Nihon Kokyuki Gakkai Zasshi] 2010 Dec; Vol. 48 (12), pp. 906-11. - Publication Year :
- 2010
-
Abstract
- Pneumonia which develops in patients while living in their own home is categorized as community-acquired pneumonia (CAP), even if these patients are bedridden and receiving home health care. However, because of the differences in patient backgrounds, we speculated that the clinical outcomes and pathogens of bedridden patients with pneumonia who are receiving home health care would be different from those of CAP. We conducted a prospective study of patients with CAP who were hospitalized at our hospital from April 2007 through September 2009. We compared home health care bedridden pneumonia (performance status 4, PS4-CAP) with non-PS4-CAP in a total of 505 enrolled patients in this study. Among these, 66 had PS4-CAP, mostly associated with aspiration. Severity scores, mortality rate, recurrence rate and length of hospital stay of those with PS4-CAP were significantly higher than those with non-PS4-CAP. Drug resistant pathogens were more frequently isolated from patients with PS4-CAP than from those of non-PS4-CAP. The results of patients with PS4-CAP were in agreement with those of previous health care-associated pneumonia (HCAP) reports. The present study suggested home health care bedridden pneumonia should be categorized as HCAP, not CAP.
- Subjects :
- Aged
Aged, 80 and over
Anti-Bacterial Agents administration & dosage
Community-Acquired Infections
Drug Therapy, Combination
Female
Humans
Length of Stay
Male
Prognosis
Prospective Studies
Recurrence
Severity of Illness Index
Bed Rest
Home Care Services
Pneumonia drug therapy
Pneumonia epidemiology
Pneumonia microbiology
Subjects
Details
- Language :
- Japanese
- ISSN :
- 1343-3490
- Volume :
- 48
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society
- Publication Type :
- Academic Journal
- Accession number :
- 21226296