ArticleThe journal of nutrition, health & aging2013
Impact of functional status on the onset of nosocomial infections in an acute care for elders unit.
Article in The journal of nutrition, health & aging, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- A decade of norovirus disease risk among older adults in upper-middle and high income countries: a systematic review.BMC infectious diseases · 2015Pooled it
- Impact of nursing home-acquired pneumonia on the domains of the novel construct of intrinsic capacity: The INCUR study.Journal of the American Geriatrics Society · 2022Article
- Outbreak of Human Metapneumovirus in a Nursing Home: A Clinical Perspective.Journal of the American Medical Directors Association · 2020Article
- [Influence of nosocomial infections on activities of daily living in acute geriatric inpatients].Zeitschrift fur Gerontologie und Geriatrie · 2018Observational
- Comprehensive geriatric assessment predicts mortality and adverse outcomes in hospitalized older adults.BMC geriatrics · 2014Observational
- Risks of Infection among the Older Inflammatory Bowel Disease Patients.Current treatment options in gastroenterology · 2014Article
- Reduced physical functional performance before hospitalization predicts life support limitations and mortality in nonsurgical intensive care unit patients.Revista Brasileira de terapia intensivaArticle
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the role of functional status as a risk factor for nosocomial infections in the elderly.
designProspective study.
settingAcute care for elders units of university hospital of Grenoble. PARTICIPANT: All patients over 75 years old consecutively hospitalized between January and April 2007. MEASUREMENT: The main judgement criteria was the rate of nosocomial infection during the hospital stay, defined according to the French technical comity against nosocomial infections. Other data included functional status at baseline and admission (Katz' ADL), usual risk factors for nosocomial infections, demographic and geriatric assessment data.
resultsThe study included 223 patients. The mean age was 86.7±6.5 years. A nosocomial infection was diagnosed for 17.0% of the patients. In univariate analysis, the number of medicines, pressure sore, pneumonia diagnosis, illness severity, indwelling bladder catheter, IADL at baseline, and all disability parameters (ADL at baseline, ADL at admission, recent functional decline) were significantly associated with nosocomial infection (p<0.05). In multivariate analysis considering functional status at admission, indwelling bladder catheter (OR=4.43), severe disability at admission (OR=4.42) and illness severity (OR=2.68) were independently associated with nosocomial infection (p<0.05). In a second analysis considering functional status at baseline, only disability at baseline was independently associated with the onset of a nosocomial infection (OR=2.21).
conclusionOur results suggest a significant impact of functional impairment on the incidence of nosocomial infections in hospitalized elderly population. Disability is a higher risk factor for nosocomial infections than the usual and well-known other parameters. Larger prospective studies are needed to examine the power of this relationship.
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