在老年人中,与社区发病的肺炎再入院相关的因素:一项回顾性研究
Akihiko Goto1, Kenji Umeki1, Kazufumi Hiramatsu2
1Department of Respiratory Medicine, Tenshindo Hetsugi Hospital, 5956 Nihongi, Nakahetsugi, Oita, 879-7761, Japan.
Respiratory investigation
|June 21, 2024
概括
老年人患肺炎复发的风险较高. 脑血管疾病和需要餐时间援助显著增加了医院再入院的风险,而不是口腔护理等生活方式因素.
科学领域:
- 老年病的医生 老年病的医生
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 老年人患肺炎复发的风险更高.
- 关于导致肺炎复发的因素,现实世界数据有限.
- 这项研究调查了生活方式对肺炎复发再入院的影响.
研究的目的:
- 评估患者生活方式对老年人由于肺炎复发而重新入院的影响.
- 确定老年人群中肺炎再入院的主要风险因素.
主要方法:
- 追溯研究包括65岁以上因社区发病的肺炎住院的患者.
- 邮政问卷调查医院住院后的生活方式.
- 多变量分析以确定与再接收相关的因素.
主要成果:
- 在89名分析患者中,有27%的患者在一年内因肺炎重新入院.
- 脑血管疾病 (OR 3.912) 和需要餐时间协助 (OR 2.225) 是重新入院的重要预测因素.
- 口腔护理和饮食时间的身体姿势与再入院无关.
结论:
- 主体因素,如潜在疾病,是老年人肺炎复发的主要驱动因素.
- 生活方式因素,如口腔护理和身体姿势似乎对再入院不那么重要.
- 医疗专业人员和护理人员应考虑重新接收预防的确定的风险因素.
更多相关视频
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
9.7K
11:32Following in Real Time the Impact of Pneumococcal Virulence Factors in an Acute Mouse Pneumonia Model Using Bioluminescent Bacteria
Published on: February 23, 2014
15.1K
相关概念视频
01:30Pneumonia I: Introduction
219
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
219
01:30Pneumonia III: Complications and Assessment
198
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
198
01:30Pneumonia V: Nursing management and Prevention
2.0K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.0K
01:29Pneumonia II: Pathophysiology
253
The pathophysiology of pneumonia involves the following steps:
253
01:26Factors Affecting the Risk of Infection
11.6K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.6K
01:28Pneumonia IV: Management
319
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
319