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Full-Text Articles in Social and Behavioral Sciences
Assessment Of Pneumonia In Older Adults: Effect Of Functional Status, Lona Mody, Rongjun Sun, Suzanne F. Bradley
Assessment Of Pneumonia In Older Adults: Effect Of Functional Status, Lona Mody, Rongjun Sun, Suzanne F. Bradley
Rongjun Sun
OBJECTIVES: Evaluate the effect of preadmission functional status on severity of pneumonia, length of hospital stay (LOS), and all-cause 30-day and 1-year mortality of adults aged 60 and older and to understand the effect of pneumonia on short-term functional impairment. DESIGN: Prospective cohort study. SETTING: University hospital. PARTICIPANTS: One hundred twelve patients with radiograph-proven pneumonia (mean age 74.6) were enrolled. MEASUREMENTS: Functional status and comorbidities were assessed using the Functional Autonomy Measurement System (SMAF) and Charlson Comorbidity Index. Clinical information was used to calculate the Pneumonia Prognostic Index (PPI). RESULTS: Eighty-four (75%) patients were functionally independent (FI) before admission, with …
Community-Acquired Pneumonia In Older Veterans: Does The Pneumonia Prognosis Index Help?, Lona Mody, Rongjun Sun, Suzanne Bradley
Community-Acquired Pneumonia In Older Veterans: Does The Pneumonia Prognosis Index Help?, Lona Mody, Rongjun Sun, Suzanne Bradley
Rongjun Sun
OBJECTIVES: Mortality rates from pneumonia increase steadily with age. Recently, a disease severity model (the Pneumonia Prognosis Index (PPI)) has been developed to predict mortality from community-acquired pneumonia (CAP). PPI ranks severity of pneumonia from 1 to 5, with 5 being most severe. This retrospective study utilizes the PPI to address the prognosis of CAP in older adults. DESIGN: Retrospective review of medical charts. SETTING: Department of Veterans Affairs Medical Center. PARTICIPANTS: All adults aged 60 and older admitted to a Veterans Affairs Medical Center with CAP between January 1 and December 31, 1998. MEASUREMENTS: PPI was calculated using subjects' …