ArticleBMC infectious diseases2021
Activity of daily living upon admission is an independent predictor of in-hospital mortality in older patients with community-acquired pneumonia.
Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 16 citations in OpenAlex.
- Impact of Cause-Specific readmission on Long-Term mortality after transcatheter aortic valve implantation.International journal of cardiology. Heart & vasculature · 2026Article
- Machine learning using PROFUND components for 30-day readmission prediction in multimorbid patients: a prospective multicentre study.Scientific reports · 2026Article
- Clinical courses of elderly patients with community-treated pneumonia: A retrospective cohort in Northern Israel.Journal of family medicine and primary care · 2026Article
- Association between blood urea nitrogen to albumin ratio and 28-day mortality in ICU patients with acute respiratory failure: a retrospective analysis of MIMIC-IV database.BMC medical informatics and decision making · 2025Article
- Association between preexisting long-term care needs and in-hospital mortality and long-term outcomes in older inpatients with pneumonia: A retrospective cohort study.Journal of general and family medicine · 2025Article
- Trajectories of physical functioning and its implication for all-cause mortality in Chinese older people: a large-scale national longitudinal study.Journal of global health · 2025Article
- Differences in the Health Status of Older Adults in Community and Hospital Cohorts.Annals of geriatric medicine and research · 2025Article
- Construction and validation of a predictive model for suicidal ideation in non-psychiatric elderly inpatients.BMC geriatrics · 2025Article
- Analysis of risk factors for pneumonia in patients with catatonia: a cross-sectional analysis.Frontiers in psychiatry · 2024Article
- Establishment of risk model for elderly CAP at different age stages: a single-center retrospective observational study.Scientific reports · 2023Observational
- Development and validation of a survival prediction model in elder patients with community-acquired pneumonia: a MIMIC-population-based study.BMC pulmonary medicine · 2023Article
- A nomogram for predicting risk of death during hospitalization in elderly patients with Alzheimer's disease at the time of admission.Frontiers in neurology · 2023Article
- Combination of the Barthel Index at Discharge with GRACE Leads to Improved One-Year Mortality Prediction in Older Patients with Acute Myocardial Infarction.Clinical interventions in aging · 2023Article
- Exploration of Aging-Care Parameters to Predict Mortality of Patients Aged 80-Years and Above with Community-Acquired Pneumonia.Clinical interventions in aging · 2022Article
- Prognostic Factors for Cardiovascular Events in Elderly Patients with Community Acquired Pneumonia: Results from the CAP-China Network.Clinical interventions in aging · 2022Article
- Comparison of Different Scoring Systems for Prediction of Mortality and ICU Admission in Elderly CAP Population.Clinical interventions in aging · 2021Article
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4 authors at 1 institution in 1 country.
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Abstract
backgroundOlder patients hospitalized with community-acquired pneumonia (CAP) are at high risk for short-term mortality. Activity of daily living (ADL) is associated with clinical outcomes in older patients. We aimed to investigate the prognostic value of ADL upon admission on the in-hospital mortality in older patients with CAP.
methodsWe conducted a retrospective cohort study involving patients aged ≥65 years admitted to Beijing Chao-Yang hospital due to CAP between June 2012 and June 2020. ADL evaluation upon admission was performed by Barthel Index (BI). Data from all patients were extracted from the electronic medical records.
resultsFour thousand eight hundred eighty patients were included, 131 patients (2.7%) died during their hospitalization. Median BI in the Deceased group was 45 (20-65), Deceased group had lower BI scores than Survivors group (p < 0.001). Low BI (< 60) was more frequent in patients who died in the hospital than in patients discharged alive (69.5% vs. 13%, p < 0.001). In-hospital mortality was higher among patients with worse ADL upon admission (BI< 60) compared to those BI≥60 (12.6% vs. 0.9%). The worse ADL upon admission (BI< 60) was associated with an increase in the risk of death during CAP hospitalization, worse ADL upon admission (BI< 60) showed an odds ratio (OR) for in-hospital mortality of 7.53 (95%CI: 2.77-20.48; P < 0.01). This association remained significant after adjustment for age, comorbid conditions, respiratory failure, pathogens and laboratory findings (OR, 3.74; 95%CI, 2.37-5.91; P < 0.01). Receiver operating characteristic (ROC) curve revealed that BI upon admission is a predictor related to in-hospital mortality in elderly patients, the area under the ROC curve of BI in predicting in-hospital mortality was 0.81 (with 95% confidence interval: 0.78-0.85). The predictive value of ADL upon admission was better than age in our study population.
conclusionActivity of daily living upon admission is an independent predictor of in-hospital mortality in older patients with community-acquired pneumonia.
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