| アイテムタイプ |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2025-12-22 |
| タイトル |
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|
タイトル |
Development of a score model to predict long‐term prognosis after community‐onset pneumonia in older patients |
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言語 |
en |
| 言語 |
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|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
advance care planning |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
antibiotic resistance |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
community-acquired pneumonia |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
healthcare-associatedpneumonia |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
long-term prognosis |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
pneumonia |
| 資源タイプ |
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|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 著者 |
Takazono, Takahiro
Namie, Hotaka
Nagayoshi, Yohsuke
Imamura, Yoshifumi
Ito, Yuya
Sumiyoshi, Makoto
Ashizawa, Nobuyuki
Yoshida, Masataka
Takeda, Kazuaki
Iwanaga, Naoki
Ide, Shotaro
Harada, Yosuke
Hosogaya, Naoki
Takemoto, Shinnosuke
Fukuda, Yuichi
Yamamoto, Kazuko
Miyazaki, Taiga
Sakamoto, Noriho
Obase, Yasushi
Sawai, Toyomitsu
Higashiyama, Yasuhito
Hashiguchi, Kohji
Funakoshi, Satoshi
Suyama, Naofumi
Tanaka, Hikaru
Yanagihara, Katsunori
Izumikawa, Koichi
Mukae, Hiroshi
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| 抄録 |
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内容記述タイプ |
Abstract |
|
内容記述 |
Background and Objective: The identification of factors associated with long-term prognosis after community-onset pneumonia in elderly patients should be considered when initiating advance care planning (ACP). We aimed to identify these factors and develop a prediction score model. Methods: Patients aged 65 years and older, who were hospitalized for pneumonia at nine collaborating institutions, were included. The prognosis of patients 180 days after the completion of antimicrobial treatment for pneumonia was prospectively collected. Results: The total number of analysable cases was 399, excluding 7 outliers and 42 cases with missing data or unknown prognosis. These cases were randomly divided in an 8:2 ratio for score development and testing. The median age was 82 years, and there were 68 (17%) deaths. A multivariate analysis showed that significant factors were performance status (PS) ≥2 (Odds ratio [OR], 11.78), hypoalbuminemia ≤2.5 g/dL (OR, 5.28) and dementia (OR, 3.15), while age and detection of antimicrobial-resistant bacteria were not associated with prognosis. A scoring model was then developed with PS ≥2, Alb ≤2.5, and dementia providing scores of 2, 1 and 1 each, respectively, for a total of 4. The area under the curve was 0.8504, and the sensitivity and specificity were 94.6% and 61.7% at the cutoff of 2, respectively. In the test cases, the sensitivity and specificity were 91.7% and 63.1%, respectively, at a cutoff value of 2. Conclusion: Patients meeting this score should be considered near the end of life, and the initiation of ACP practices should be considered. |
|
言語 |
en |
| 書誌情報 |
en : Respirology
巻 29,
号 8,
p. 722-730,
発行日 2024-05-20
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| 出版者 |
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出版者 |
Wiley |
|
言語 |
en |
| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
1323-7799 |
| DOI |
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|
関連タイプ |
isVersionOf |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.1111/resp.14752 |
| 権利 |
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|
権利情報 |
© 2024 Asian Pacific Society of Respirology. This is the peer reviewed version of the following article: Respirology, 29(8), pp.722-730; 2024, which has been published in final form at https://doi.org/10.1111/resp.14752. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. |
|
言語 |
en |
| 著者版フラグ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
| 引用 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
Respirology, 29(8), pp.722-730; 2024 |
|
言語 |
en |
R29_722.pdf (325 KB)
