Observational studyClinical interventions in aging2020
Declined Functional Status Prolonged Hospital Stay for Community-Acquired Pneumonia in Seniors.
Observational study in Clinical interventions in aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Costs of management of acute respiratory infections in older adults: A systematic review and meta-analysis.Journal of global health · 2022Pooled it
- Prognostic factors for mortality in invasive pneumococcal disease in adult: a system review and meta-analysis.Scientific reports · 2021Pooled it
- Factors Associated with 30-Day Non-Return to Pre-Hospital Residence in Older Patients Hospitalized with Pneumonia or Lower Respiratory Tract Infection: The Role of Serum Albumin and Early Treatment Failure.Geriatrics (Basel, Switzerland) · 2026Article
- Reducing the complications from community acquired pneumonia: a review.Journal of thoracic disease · 2026Review
- A retrospective analysis of mental well-being, nutritional status, and comorbidity burden in elderly patients with community-acquired pneumonia.BMC public health · 2025Article
- Employing a low-code machine learning approach to predict in-hospital mortality and length of stay in patients with community-acquired pneumonia.Scientific reports · 2025Article
- Impact of COVID-19 versus other pneumonia on in-hospital mortality and functional decline among Japanese dialysis patients: a retrospective cohort study.Scientific reports · 2024Observational
- 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
- Malnutrition, Functional Decline, and Institutionalization in Older Adults after Hospital Discharge Following Community-Acquired Pneumonia.Nutrients · 2023Observational
- Establishment of risk model for elderly CAP at different age stages: a single-center retrospective observational study.Scientific reports · 2023Observational
- Retrospective cohort analysis of outpatient antibiotic prescribing for community-acquired pneumonia in Canadian older adults.PloS one · 2023Article
- Observational
- Functional status recovery trajectories in hospitalised older adults with pneumonia.BMJ open respiratory research · 2022Article
- Exploration of Aging-Care Parameters to Predict Mortality of Patients Aged 80-Years and Above with Community-Acquired Pneumonia.Clinical interventions in aging · 2022Article
- Appropriateness of Outpatient Antibiotic Use in Seniors across Two Canadian Provinces.Antibiotics (Basel, Switzerland) · 2021Article
- Comparison of Different Scoring Systems for Prediction of Mortality and ICU Admission in Elderly CAP Population.Clinical interventions in aging · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAmong senior community-acquired pneumonia (CAP) survivors, functional status after hospitalization is often decreased. This study investigated the change of functional status affecting delayed discharge. PATIENTS AND
methodsThis retrospective observational study was conducted in two medical facilities from January 2016 to December 2018. Hospitalized CAP patients >64 years old were divided into two groups: an early group discharged ≤1 week after ending antibiotic treatment and a delayed group discharged >1 week after ending antibiotic treatment. The primary outcome was decline in functional status.
resultsThe early group comprised 170 patients and the delayed group comprised 155 patients (median age: 78 vs 82 years; p = 0.007). Distribution of the causative microorganisms and initial prescription of antibiotics showed no significant differences in the two groups (p=0.38; p=0.83, respectively) More patients showed decline in functional status in the delayed group than the early group (16 (9.4%) vs 49 (31.6%), p<0.001), even if rehabilitation was more frequently conducted (77 (45.3%) vs 118 (76.1%); p<0.001). Higher medical expenses were observed in the delayed group ($8631 vs $3817, respectively; p<0.001). Multivariable regression analysis of factors contributing delayed discharge revealed that decreased functional status, pneumonia severity index (PSI) categories, rehabilitation enrolled, aspiration and age were independently associated with delayed discharge (odds ratio 4.31, 95% confidence interval (CI) 2.32-7.98; 2.34, 95% CI 1.43-3.82; 15.96, 95% CI 4.56-55.82 (PSI V vs II); 2.48, 95% CI 1.11-5.98; and 1.03, 95% CI 1.01-1.06; respectively).
conclusionFunctional status decline was independently associated with extended hospitalization.
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