Klinikum Nürnberg, Medizinische Klinik 2-Akutgeriatrie, Lehrstuhl Innere Medizin-Geriatrie der FAU Erlangen-Nürnberg, Deutschland.
Gerontology. 2010;56(4):385-9. doi: 10.1159/000262285. Epub 2009 Nov 25.
Community-acquired pneumonia is a common disease of the elderly and involves a high mortality risk. Demographic developments are creating new challenges for acute medical treatment strategies in geriatric patients with their underlying multimorbidity. In addition to the diagnostic parameters recorded on hospital admission, such as white cell count and C-reactive protein, procalcitonin, more than the risk scores CRB- and CURB-65 evaluated to date, appears to be a promising parameter for assessing the severity of pneumonia in elderly patients to allow early detection of severe courses and initiation of suitable treatment. The decisive factor is the dynamic course of the procalcitonin values over 3 consecutive days, as demonstrated in this case series.
社区获得性肺炎是老年人的常见病，死亡率高。人口结构的发展给患有多种基础疾病的老年患者的急性医疗治疗策略带来了新的挑战。除了入院时记录的白细胞计数和 C 反应蛋白等诊断参数外，降钙素原似乎比迄今为止评估的 CRB-和 CURB-65 风险评分更有希望作为评估老年患者肺炎严重程度的参数，以早期发现严重病程并开始适当的治疗。决定性因素是降钙素原值在连续 3 天内的动态变化，本病例系列研究证明了这一点。
