Comparison of nursing home-acquired pneumonia and community-acquired pneumonia and evaluation of factors predicting mortality

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dc.authorid0000-0002-0974-5717
dc.authorid0000-0002-0583-2936
dc.authorid0000-0002-1457-4844
dc.contributor.authorYencilek, Halil İlker
dc.contributor.authorŞener, Alp
dc.contributor.authorÖzhasenekler, Ayhan
dc.contributor.authorErgin, Mehmet
dc.contributor.authorGünaydın, Gül Pamukcu
dc.contributor.authorGökhan, Servan
dc.contributor.authorEre, Özcan
dc.date.accessioned2024-09-25T19:58:58Z
dc.date.available2024-09-25T19:58:58Z
dc.date.issued2022
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü en_US
dc.description.abstractObjective: The number of admissions to the emergency department (ED) of elderly patients who reside in nursing homes with a diagnosis of pneumonia continues to grow. This study was designed to assess factors that predicted mortality in the patient group defined as those with nursing home-acquired pneumonia (NHAP). Materials and Methods: This was a prospective, observational study conducted in a hospital ED. The data of nursing home patients admitted to the ED with a pneumonia presentation (NHAP) were compared with those of patients with community-acquired pneumonia (CAP). Factors that predicted mortality in the NHAP group were analyzed. SPSS for Windows, Version 16.0 software (SPSS Inc., Chicago, IL, USA) was used to perform the statistical analysis. Results: A total of 98 patients >18 years of age, 36 of whom were NHAP patients, were included in the research. The risk level and rates of intensive care admission and mortality were significantly higher in the NHAP group (p<0.05), and the thiol level, an antioxidant parameter, was lower in the NHAP group than that of the CAP group (p<0.001). Evaluation of the NHAP group alone revealed a higher mortality rate in patients with congestive heart failure, those hospitalized in intensive care, and those with high risk scores (p<0.05). The shock index (SI) value was found to be an independent predictor of mortality in the NHAP group. The study results indicated that each 0.1 unit increase in the Si increased mortality 3.637 times (95% confidence interval: 1.024-12.921) (p=0.046). Conclusion: The findings suggest that the SI could serve as a valuable marker for predicting mortality in NHAP patients.en_US
dc.identifier.doi10.14744/etd.2021.20502
dc.identifier.endpage76en_US
dc.identifier.issn2149-2247
dc.identifier.issn2149-2549
dc.identifier.issue1en_US
dc.identifier.startpage68en_US
dc.identifier.trdizinid521948en_US
dc.identifier.urihttps://doi.org/10.14744/etd.2021.20502
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/521948
dc.identifier.urihttps://hdl.handle.net/20.500.12491/13827
dc.identifier.volume44en_US
dc.identifier.wosWOS:000762940500013en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.institutionauthorYencilek, Halil İlker
dc.institutionauthorid0000-0002-1457-4844
dc.language.isoenen_US
dc.publisherErciyes Univ Sch Medicineen_US
dc.relation.ispartofErciyes Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzYK_20240925en_US
dc.subjectMortalityen_US
dc.subjectNursing Home-Acquired Pneumoniaen_US
dc.subjectOxidative Stressen_US
dc.subjectShock Indexen_US
dc.subjectThiol/Disulfide Homeostasisen_US
dc.titleComparison of nursing home-acquired pneumonia and community-acquired pneumonia and evaluation of factors predicting mortalityen_US
dc.typeArticleen_US

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