TY - JOUR AU - Surme, Serkan AU - Balkan, Ilker Inanc AU - Bayramlar, Osman Faruk AU - Kara Ali, Ritvan AU - Mete, Bilgul AU - Tabak, Fehmi AU - Saltoğlu, Nese PY - 2021/12/31 Y2 - 2024/03/29 TI - Predictors of Long-term Outcomes in the Older Adults with Community-Acquired Pneumonia JF - The Journal of Infection in Developing Countries JA - J Infect Dev Ctries VL - 15 IS - 12 SE - Original Articles DO - 10.3855/jidc.14881 UR - https://jidc.org/index.php/journal/article/view/35044950 SP - 1910-1916 AB - <p>Introduction: We aimed to determine the indicators for poor long-term outcome in older adults with community-acquired pneumonia (CAP).</p><p>Methodology: Patients with CAP requiring hospitalization were included in this retrospective study. The long-term mortality was defined as all-cause 1-year mortality following hospital admission.</p><p>Results: A total of 145 patients with CAP were recorded. The median age was 70 (18-103), of whom 94 (65%) were ≥ 65 years old and 86 (59.5%) were male. Long-term mortality rates following CAP requiring hospitalization were substantially high in both the younger (n = 16, 31.4%) and older adults (n=43, 45.7%). In univariate analysis, the Pneumonia Severity Index (PSI) (<em>p</em> = 0.007), mechanical ventilation (<em>p</em> &gt; 0.001), mental status changes (<em>p</em> = 0.018) as well as the modified Charlson Comorbidity Index (p=0.001), presence of malignancy (<em>p</em> &lt; 0.001) and hospital readmission (<em>p</em> &lt; 0.001) were associated with long-term mortality in the older group. Our results revealed that the need for mechanical ventilation (OR = 47.61 CI = 5.38-500.0, <em>p</em> = 0.001) and hospital readmission (OR = 15.87 CI = 5.26-47.61, <em>p</em> &lt; 0.001) were major independent predictors of 1-year mortality.</p><p>Conclusions: Clinicians should consider the lethal possibilities of CAP even after hospital discharge. The need for mechanical ventilation and hospital readmission may predict long-term mortality. Therefore, the patients who have these predictors should be closely monitored.</p> ER -