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Centre for Policy on Ageing | |
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| Provider practice patterns in nursing home-acquired pneumonia | | Author(s) | Annette M Medina-Walpole, Wayne C McCormick |
| Journal title | Journal of the American Geriatrics Society, vol 46, no 2, February 1998 |
| Pages | pp 187-192 |
| Keywords | Pneumonia ; Diagnosis ; Nursing homes ; United States of America. |
| Annotation | The goals of this US study were to describe how providers in 6 community nursing homes in Seattle define, diagnose, and treat nursing home-acquired pneumonia (NHAP); and to document factors associated with mortality, hospital transfer, and cure. Using NH medical records, 94 patients aged 65 and over were found with a diagnosis of pneumonia. Allowing for more than one outcome per patient, there were 71 cures (75%), 16 deaths (17%), and 9 transfers to hospital (9.65). 85% of patients identified as having NHAP by their providers had chest X-rays, and 69% had physical examinations. Sputum examination was ordered in 5%, blood cultures in 6%, and white blood cell counts in 33% of patients. In multivariate analysis, patients with functional decline were more likely to die. Cognitive decline was a risk factor for mortality and transfer. Those patients receiving only oral antibiotics were more likely to be cured, and length of therapy >1 week was also associated with cure, as was care by providers with Certificate of Added Qualification (CAQ) in Geriatric Medicine. (RH). |
| Accession Number | CPA-981117010 A |
| Classmark | CNP: LK7: LHB: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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