ArticleInternal and emergency medicine2018
Performance status and in-hospital mortality of elderly patients with community acquired pneumonia.
Article in Internal and emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Walking ability as a prognostic indicator in elderly patients with community-acquired pneumonia: a retrospective multicenter study.BMC geriatrics · 2026Observational
- Association between albumin to Globulin ratio and pneumonia in patients with aneurysmal subarachnoid hemorrhage.Scientific reports · 2025Article
- Predicting 30-day mortality in older patients with suspected infections by adding performance status to quick sequential organ failure assessment.Journal of general and family medicine · 2025Article
- Clinical characteristics and risk factors of hospital mortality in elderly patients with community-acquired pneumonia.Frontiers in medicine · 2025Article
- Dynamic Trends of Albumin-to-C-Reactive Protein Ratio: A Prognostic Indicator in Elderly Patients with Community-Acquired Pneumonia.Journal of inflammation research · 2025Article
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- Development and validation of a new scoring system for prognostic prediction of community-acquired pneumonia in older adults.Scientific reports · 2021Article
- Chest radiograph-based artificial intelligence predictive model for mortality in community-acquired pneumonia.BMJ open respiratory research · 2021Article
- Ulinastatin plus biapenem for severe pneumonia in the elderly and its influence on pulmonary function and inflammatory cytokines.American journal of translational research · 2021Article
- Factors associated with lethality from pneumonia in an acute care for the elderly unit: a retrospective cohortBiomedica : revista del Instituto Nacional de Salud · 2020Observational
- Beyond Performance Status.Clinical oncology (Royal College of Radiologists (Great Britain)) · 2020Review
- Characteristics and Management of Community-Acquired Pneumonia in the Era of Global Aging.Medical sciences (Basel, Switzerland) · 2018Review
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Authors and funding
8 authors.
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Abstract
To evaluate the role of performance status evaluated by the Eastern Cooperative Oncology Group (ECOG) score in predicting 30-day mortality in subjects hospitalized for community acquired pneumonia (CAP), this was a prospective study of patients consecutively hospitalized for CAP at a large University Hospital in Italy. Performance status was evaluated using the ECOG score that in a 0-5 point scale indicates progressive functional deterioration. The end-point of the study is the 30-day mortality. Two-hundred-sixteen patients were enrolled, 75.9% were aged > 70 years, 31.5% had severe pneumonia at CURB-65 score (3-4), and 27.5% of patients had severe disability (ECOG 3-4). Thirty-day mortality is 15.3%. Progression in ECOG score independently increases the probability of 30-day mortality at multivariable logistic regression analysis (HR 2.19, 95% CI 1.60-3.01, p < 0.0001). ECOG 3 or 4 determines a four-fold increase in 30-day mortality (HR 4.07, 95% CI 1.84-9.02, p < 0.001). ECOG score 3 or 4 is highly predictive of death in patients classified at low risk of mortality by CURB-65 (0-2 points) score. Functional status is directly related to outcome in elderly patients hospitalized for CAP. The use of a very simple and fast tool, such as the ECOG score, might help to better stratify the risk of short-term mortality, especially in patients otherwise classified at low risk of death by CURB-65 score.
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