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社区获得性肺炎在老年患者中的表现:一项描述性的横断面研究。

Community-acquired Pneumonia among Elderly Patients Admitted to the Department of Medicine in a Tertiary Care Centre: A Descriptive Cross-sectional Study.

机构信息

Department of Medicine, National Academy of Medical Sciences, Mahaboudha, Kathmandu, Nepal.

Silverline Hospital, Balaju, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2023 Jun 1;61(262):535-538. doi: 10.31729/jnma.8202.

Abstract

INTRODUCTION

Community-acquired pneumonia is an acute infection of lung tissue in an immunocompetent patient who have not recently been hospitalized or has been hospitalized for less than 48 hours and acquired it in the community. It continues to have a substantial effect on the elderly, who are impacted more often and severely than younger groups. It is the third most common hospital diagnosis in adults over the age of 65 years, and the sixth major cause of mortality in developed nations. The aim of this study was to find out the prevalence of community-acquired pneumonia among elderly patients admitted to the Department of Medicine in a tertiary care centre.

METHODS

A descriptive cross-sectional study was done in the Department of Medicine in a tertiary care centre where data were collected from 1 December 2021 and 1 December 2022 after obtaining ethical approval from the Institutional Review Committee (Reference number: 465/2079/80). Data on community-acquired pneumonia in the elderly was collected from the hospital records. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.

RESULTS

Among 385 patients, community-acquired pneumonia was seen in 14 (3.64%) (1.77-5.51, 95% Confidence Interval) with a mean age of 70.57±10.21 years.

CONCLUSIONS

The prevalence of community-acquired pneumonia among elderly patients was found to be lower compared to other studies conducted in similar settings.

KEYWORDS

elderly; pneumonia; prevalence; tertiary care center.

摘要

简介

社区获得性肺炎是一种免疫功能正常的患者肺部组织的急性感染,这些患者最近没有住院,或住院时间不到 48 小时,并在社区中感染。它仍然对老年人有很大的影响,老年人比年轻人群受到的影响更大、更严重。它是 65 岁以上成年人中第三常见的医院诊断,也是发达国家第六大主要死亡原因。本研究的目的是了解在三级保健中心内科住院的老年患者中社区获得性肺炎的患病率。

方法

在三级保健中心内科进行了一项描述性的横断面研究,在获得机构审查委员会的伦理批准(参考号:465/2079/80)后,于 2021 年 12 月 1 日至 2022 年 12 月 1 日收集数据。从医院记录中收集了老年人社区获得性肺炎的数据。使用方便抽样法。计算了点估计值和 95%置信区间。

结果

在 385 名患者中,有 14 名(3.64%)(1.77-5.51,95%置信区间)患有社区获得性肺炎,平均年龄为 70.57±10.21 岁。

结论

与在类似环境中进行的其他研究相比,发现老年患者社区获得性肺炎的患病率较低。

关键词

老年人;肺炎;患病率;三级保健中心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d75/10276930/bf294bfb6c0b/JNMA-61-262-535-g1.jpg

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