Observational studyJournal of general internal medicine2018
A Composite of Functional Status and Pneumonia Severity Index Improves the Prediction of Pneumonia Mortality in Older Patients.
Observational study in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Machine Learning Reveals the Value of Unconventional T Lymphocytes in Sepsis and Prognosis of Elderly Patients With Severe Lower Respiratory Tract Infections.Journal of clinical laboratory analysis · 2025Article
- Integrating respiratory microbiome and host immune response through machine learning for respiratory tract infection diagnosis.NPJ biofilms and microbiomes · 2024Article
- Five Functional Classes Identified Among Patients Hospitalized for Pneumonia Characterized by Activity Limitations With Mobility and Self-Care Tasks.Archives of rehabilitation research and clinical translation · 2024Article
- Erector spinae muscle-based nomogram for predicting in-hospital mortality among older patients with severe community-acquired pneumonia.BMC pulmonary medicine · 2023Observational
- Review
- Validation of the Barthel Index as a Predictor of In-Hospital Mortality among COVID-19 Patients.Healthcare (Basel, Switzerland) · 2023Article
- Atrial fibrillation as a new prognosis factor in chronic patients after hospitalization: the CHRONIBERIA index.Scientific reports · 2023Article
- Association between Barthel Index, Grip Strength, and Physical Activity Level at Admission and Prognosis in Community-Acquired Pneumonia: A Prospective Cohort Study.Journal of clinical medicine · 2022Article
- Observational
- Exploration of Aging-Care Parameters to Predict Mortality of Patients Aged 80-Years and Above with Community-Acquired Pneumonia.Clinical interventions in aging · 2022Article
- Development and validation of a new scoring system for prognostic prediction of community-acquired pneumonia in older adults.Scientific reports · 2021Article
- Could nutritional and functional status serve as prognostic factors for COVID-19 in the elderly?Medical hypotheses · 2020Article
- The situation of infection in the elderly in Spain: a multidisciplinary opinion document.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2020Article
- Community-acquired pneumonia in critically ill very old patients: a growing problem.European respiratory review : an official journal of the European Respiratory Society · 2020Review
- Declined Functional Status Prolonged Hospital Stay for Community-Acquired Pneumonia in Seniors.Clinical interventions in aging · 2020Observational
- Impact of functional status on 6-month mortality in elderly patients with acute venous thromboembolism: results from a prospective cohort.Journal of thrombosis and thrombolysis · 2018Observational
- Characteristics and Management of Community-Acquired Pneumonia in the Era of Global Aging.Medical sciences (Basel, Switzerland) · 2018Review
- Capsule Commentary on Sanz et al., A Composite of Functional Status and Pneumonia Severity Index Improves the Prediction of Pneumonia Mortality in Older Patients.Journal of general internal medicine · 2018Article
- Post-COVID-19 functional status: Relation to age, smoking, hospitalization, and previous comorbidities.Annals of thoracic medicineArticle
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe baseline health status may be a determinant of interest in the evolution of pneumonia.
objectiveOur objective was to assess the predictive ability of community-acquired pneumonia (CAP) mortality by combining the Barthel Index (BI) and Pneumonia Severity Index (PSI) in patients aged ≥ 65 years. DESIGN, PATIENTS AND MAIN MEASURES: In this prospective, observational, multicenter analysis of comorbidities, the clinical data, additional examinations and severity of CAP were measured by the PSI and functional status by the BI. Two multivariable models were generated: Model 1 including the PSI and BI and model 2 with PSI plus BI stratified categorically. KEY
resultsThe total population was 1919 patients, of whom 61% had severe pneumonia (PSI IV-V) and 40.4% had some degree of dependence (BI ≤ 90 points). Mortality in the PSI V-IV group was 12.5%. Some degree of dependence was associated with increased mortality in both the mild (7.2% vs. 3.2%; p = 0.016) and severe (14% vs. 3.3%; p < 0.001) pneumonia groups. The combination of PSI IV-V and BI ≤ 90 was the greatest risk factor for mortality (aOR 4.17; 95% CI 2.48 to 7.02) in our series.
conclusionsThe use of a bimodal model to assess CAP mortality (PSI + BI) provides more accurate prognostic information than the use of each index separately.
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