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Abstract: Slide Presentations |

COMMUNITY-ACQUIRED PNEUMONIA IN ELDERLY: PREDICTION OF CLINICAL COURSE AND OUTCOME FREE TO VIEW

Ivanka Djordjevic, MDS*; Tatjana Pejcic, PhD; Slavica Golubovic, MDS; Milan Radovic, MDS
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Clinical Center-Nis, Clinic for Lung Diseases, Nis, Serbia


Chest


Chest. 2009;136(4_MeetingAbstracts):5S. doi:10.1378/chest.136.4_MeetingAbstracts.5S-g
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Abstract

PURPOSE:  The aim of this study was establishing prognostic factors of mortality and proper prediction of clinical course and outcome of pneumonia.

METHODS:  We studied 240 patients aged ≥65 years with community acquired pneumonia. On admission, pneumonia severity were assessed according to: demographic characteristics,accompanying diseases, physical symptoms and findings, laboratory values, chest radiography and oxygen blood saturation values. Characteristic prognostic factors were established by used of Backward-LR multivariate logistic regression.

RESULTS:  Altered mental status, respiratory frequency ≥23/min and presence of bilateral infiltrates on chest x-ray were established as the most important prognostic factors of mortality (p<0.001). Sensitivity of this factors was 57.89%, specificity 100%, and accuracy 93.33%. Age and sex was not significantly associated with mortality.

CONCLUSION:  Presence of identified characteristic prognostic factors, on admission, pointed out to adverse clinical course and outcome of community acquired pneumonia in elderly.

CLINICAL IMPLICATIONS:  Identification of characteristic prognostic factors on admission helps in proper prediction of clinical course and outcome of pneumonia in elderly.

DISCLOSURE:  Ivanka Djordjevic, No Financial Disclosure Information; No Product/Research Disclosure Information

Monday, November 2, 2009

10:30 AM - 12:00 PM


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