Neumonía en el anciano institucionalizado: Criterios de derivación y/o clasificación pronóstica

Abstract

Objective: To know the clinical features of nursing home residents with pneumonia comparing with patients with Community-acquired pneumonia and identify the main prognostics index of mortality. Material and methods: Longitudinal prospective study including all the elderly patients hospitalized in Cantoblanco Hospital of Madrid during the year 2001 for pneumonia and classified according to the Fine prognosis index and the SEPAR criteria. Results: Of the 78 patients with pneumonia, 27 came from Residence, with an average of age of 86,85(± 6,43) years old, opposite to 83,11 (± 5,87) years in patients with Community acquired pneumonia (p<0,05). Of all of them, 33,3% belonged to class IV and 66,7% to class V of Fine. Of all the variables studied, only the age (p=0,03) and the hipoxemia (p=0,03) were statistical significant. Conclusions: Nursing home residents with pneumonia are older and have more prevalence of morbi-mortality than those with Community acquired pneumonia. In our study, the age and the hipoxemia were the two independent prognosis factors associate to more mortality.