Yardimci Bulent, Aksoy Sevki Murat, Ozkaya Ismail, Demir Tarik, Tezcan Gulsen, Kaptanoglu Aysegul Yildirim
Bulent Yardimci, MD. Department of Internal Medicine, Istanbul Florence Nightingale Hospital, Istanbul, Turkey.
Sevki Murat Aksoy, MD. Professor, Department of Vascular Surgery, Bahcesehir University Medical Faculty, Liv Hospital, Istanbul, Turkey.
Pak J Med Sci. 2016 May-Jun;32(3):694-9. doi: 10.12669/pjms.323.9635.
To evaluate the relationship between anthropometric measurements and Nursing Home-Acquired Pneumonia (NHAP) risk.
Consecutive patients of 65 years or elderly who were living in the Balikli Rum Hospital Nursing Homes were included in this prospective study. At the beginning of this study, the patients' anthropometrics values were measured. The patients were followed for one year, and any incidences of pneumonia attacks were recorded. The relationship between the anthropometric measurements and pneumonia occurrences was analyzed.
There were 133 inmates at the initial assessments. Of 108 patients who were eligible for the study, 77 (72.2%) were female and 37 (27.8%) were male. The mean age of the group was 79.8±10.5. Patients were assigned to a group according to the presence of pneumonia during the one -year follow-up. There were 74 (55.6%) patients who had suffered from at least one attack of pneumonia during the follow-up period. The mean triceps skinfold was significantly thinner in the pneumonia group, and the mean handgrip measurements in both the dominant and non-dominant hands were significantly weaker in the pneumonia group. Furthermore, the frequency of Chronic Obstructive Pulmonary Diseases (COPD) was significantly higher in this group (p < 0.001).
The risk of pneumonia was high in the elderly population who live in nursing homes. Simple anthropometric values may be predictive of the potential for Nursing Home-Acquired Pneumonia.
评估人体测量指标与养老院获得性肺炎（NHAP）风险之间的关系。
本前瞻性研究纳入了居住在巴利克利鲁姆医院养老院的65岁及以上的连续患者。在研究开始时，测量患者的人体测量学值。对患者进行为期一年的随访，并记录任何肺炎发作的情况。分析人体测量指标与肺炎发生之间的关系。
初始评估时有133名入住者。在符合研究条件的108名患者中，77名（72.2%）为女性，37名（27.8%）为男性。该组的平均年龄为79.8±10.5岁。根据一年随访期间是否患肺炎将患者分组。在随访期间，有74名（55.6%）患者至少发生过一次肺炎发作。肺炎组的肱三头肌皮褶平均更薄，肺炎组优势手和非优势手的平均握力测量值均明显较弱。此外，该组慢性阻塞性肺疾病（COPD）的发生率明显更高（p<0.001）。
居住在养老院的老年人群肺炎风险较高。简单的人体测量值可能预测养老院获得性肺炎的发生可能性。
