Neumonía adquirida en la comunidad en el anciano hospitalizado: Aspectos clínicos y nutricionales

Community acquired pneumonia (CAP) in the elderly has unique features and there is little information about the effects of nutrition status on its outcome. Aim: To assess the clinical manifestations and prognostic factors of CAP in immunocompetent elderly patients requiring hospitalization. Patients...

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Autores principales:	Riquelme O,Raúl, Riquelme O,Mauricio, Rioseco Z,María Luisa, Gómez M,Valeria, Cárdenas,Gloria, Torres,Claudia
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2008
Materias:	Aged Malnutrition Pneumonia
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000500006
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spelling	oai:scielo:S0034-988720080005000062008-07-30Neumonía adquirida en la comunidad en el anciano hospitalizado: Aspectos clínicos y nutricionalesRiquelme O,RaúlRiquelme O,MauricioRioseco Z,María LuisaGómez M,ValeriaCárdenas,GloriaTorres,Claudia Aged Malnutrition Pneumonia Community acquired pneumonia (CAP) in the elderly has unique features and there is little information about the effects of nutrition status on its outcome. Aim: To assess the clinical manifestations and prognostic factors of CAP in immunocompetent elderly patients requiring hospitalization. Patients and methods: Prospective study of all patients with CAP, admitted to Puerto Montt Hospital, Chile over one year. Epidemiológica! and clinical information and laboratory results were recorded. A nutritional assessment was also performed. Outcomes of elderly (>65 years) and young patients were compared. Results: Two hundred patients aged 63± 19 years were studied. Of these, 109 were older than 65 years (78.4±8 years) and 91 were younger than 65years (45.5±11 years). Multiple associated diseases, altered mental status, absence of fever, malnutrition and mortality were more common in the older group. Suspected aspiration pneumonia was more common in younger patients, probably related to alcoholism. Malnutrition was associated with longer hospital stay and mortality at any age. An univariate analysis showed that a low serum albumin (<3.4 g/dl) and a mid arm muscle circumference below the 25th percentile were associated with higher mortality. Conclusions: CAP in the elderly has specific features and malnutrition is associated with a worse prognosis in young and elderly patientsinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.5 20082008-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000500006es10.4067/S0034-98872008000500006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aged Malnutrition Pneumonia
spellingShingle	Aged Malnutrition Pneumonia Riquelme O,Raúl Riquelme O,Mauricio Rioseco Z,María Luisa Gómez M,Valeria Cárdenas,Gloria Torres,Claudia Neumonía adquirida en la comunidad en el anciano hospitalizado: Aspectos clínicos y nutricionales
description	Community acquired pneumonia (CAP) in the elderly has unique features and there is little information about the effects of nutrition status on its outcome. Aim: To assess the clinical manifestations and prognostic factors of CAP in immunocompetent elderly patients requiring hospitalization. Patients and methods: Prospective study of all patients with CAP, admitted to Puerto Montt Hospital, Chile over one year. Epidemiológica! and clinical information and laboratory results were recorded. A nutritional assessment was also performed. Outcomes of elderly (>65 years) and young patients were compared. Results: Two hundred patients aged 63± 19 years were studied. Of these, 109 were older than 65 years (78.4±8 years) and 91 were younger than 65years (45.5±11 years). Multiple associated diseases, altered mental status, absence of fever, malnutrition and mortality were more common in the older group. Suspected aspiration pneumonia was more common in younger patients, probably related to alcoholism. Malnutrition was associated with longer hospital stay and mortality at any age. An univariate analysis showed that a low serum albumin (<3.4 g/dl) and a mid arm muscle circumference below the 25th percentile were associated with higher mortality. Conclusions: CAP in the elderly has specific features and malnutrition is associated with a worse prognosis in young and elderly patients
author	Riquelme O,Raúl Riquelme O,Mauricio Rioseco Z,María Luisa Gómez M,Valeria Cárdenas,Gloria Torres,Claudia
author_facet	Riquelme O,Raúl Riquelme O,Mauricio Rioseco Z,María Luisa Gómez M,Valeria Cárdenas,Gloria Torres,Claudia
author_sort	Riquelme O,Raúl
title	Neumonía adquirida en la comunidad en el anciano hospitalizado: Aspectos clínicos y nutricionales
title_short	Neumonía adquirida en la comunidad en el anciano hospitalizado: Aspectos clínicos y nutricionales
title_full	Neumonía adquirida en la comunidad en el anciano hospitalizado: Aspectos clínicos y nutricionales
title_fullStr	Neumonía adquirida en la comunidad en el anciano hospitalizado: Aspectos clínicos y nutricionales
title_full_unstemmed	Neumonía adquirida en la comunidad en el anciano hospitalizado: Aspectos clínicos y nutricionales
title_sort	neumonía adquirida en la comunidad en el anciano hospitalizado: aspectos clínicos y nutricionales
publisher	Sociedad Médica de Santiago
publishDate	2008
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000500006
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Neumonía adquirida en la comunidad en el anciano hospitalizado: Aspectos clínicos y nutricionales

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