Bonilla Rodríguez A B, Gómez Rodríguez M J, Robles Agudo F, Vilalta Castel E, Pedreira Copín C
Servicio de Medicina Familiar y Comunitaria, Area V. de Servicios de Geriatría y de Medicina Interna V, Hospital Gregorio Marañón H.G.U.G.M./Cantoblanco, Madrid.
An Med Interna. 2003 Nov;20(11):558-62.
To know the clinical features of nursing home residents with pneumonia comparing with patients with Community-acquired pneumonia and identify the main prognostic index of mortality.
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.
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 hypoxemia (p= 0.03) were statistical significant.
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 hypoxemia were the two independent prognosis factors associate to more mortality.
了解养老院肺炎患者与社区获得性肺炎患者的临床特征，并确定死亡的主要预后指标。
纵向前瞻性研究，纳入2001年在马德里坎托布兰科医院因肺炎住院的所有老年患者，并根据精细预后指数和西班牙呼吸学会（SEPAR）标准进行分类。
78例肺炎患者中，27例来自养老院，平均年龄为86.85（±6.43）岁，而社区获得性肺炎患者的平均年龄为83.11（±5.87）岁（p<0.05）。其中，33.3%属于精细分级的IV级，66.7%属于V级。在所有研究变量中，只有年龄（p = 0.03）和低氧血症（p = 0.03）具有统计学意义。
与社区获得性肺炎患者相比，养老院肺炎患者年龄更大，病亡率更高。在我们的研究中，年龄和低氧血症是与更高死亡率相关的两个独立预后因素。
