Evidence map›Paper›PMID 37143835›Full record

ArticleERJ open research2023

Risk factors and interventions for developing recurrent pneumonia in older adults.

Kazufumi Takada, Kazumasa Ogawa, Atsushi Miyamoto, Hiroshi Nakahama, Shuhei Moriguchi, Kyoko Murase, Shigeo Hanada, Hisashi Takaya, Meiyo Tamaoka, Daiya Takai

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Kazufumi TakadaDepartment of Respiratory Medicine, Respiratory Centre, Toranomon Hospital, Tokyo, Japan.
Kazumasa OgawaDepartment of Respiratory Medicine, Respiratory Centre, Toranomon Hospital, Tokyo, Japan.
Atsushi MiyamotoDepartment of Respiratory Medicine, Respiratory Centre, Toranomon Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0002-3444-0536
Hiroshi NakahamaDepartment of Respiratory Medicine, Respiratory Centre, Toranomon Hospital, Tokyo, Japan.
Shuhei MoriguchiDepartment of Respiratory Medicine, Respiratory Centre, Toranomon Hospital, Tokyo, Japan.
Kyoko MuraseDepartment of Respiratory Medicine, Respiratory Centre, Toranomon Hospital, Tokyo, Japan.
Shigeo HanadaDepartment of Respiratory Medicine, Respiratory Centre, Toranomon Hospital, Tokyo, Japan.
Hisashi TakayaDepartment of Respiratory Medicine, Respiratory Centre, Toranomon Hospital, Tokyo, Japan.
Meiyo TamaokaDepartment of Respiratory Medicine, Respiratory Centre, Toranomon Hospital, Tokyo, Japan.
Daiya TakaiDepartment of Respiratory Medicine, Respiratory Centre, Toranomon Hospital, Tokyo, Japan.
Toranomon Hospital · JPKawamura Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pneumonia is common among older adults and often recurrent. Several studies have been conducted on the risk factors for pneumonia; however, little is known about the risk factors for recurrent pneumonia. This study aimed to identify the risk factors for developing recurrent pneumonia among older adults and to investigate methods of prevention. Methods: We analysed the data of 256 patients aged 75 years or older who were admitted for pneumonia between June 2014 and May 2017. Moreover, we reviewed the medical records for the subsequent 3 years and defined the readmission caused by pneumonia as recurrent pneumonia. Risk factors for recurrent pneumonia were analysed using multivariable logistic regression analysis. Differences in the recurrence rate based on the types and use of hypnotics were also evaluated. Results: Of the 256 patients, 90 (35.2%) experienced recurrent pneumonia. A low body mass index (OR: 0.91; 95% CI: 0.83‒0.99), history of pneumonia (OR: 2.71; 95% CI: 1.23‒6.13), lung disease as a comorbidity (OR: 4.73; 95% CI: 2.13‒11.60), taking hypnotics (OR: 2.16; 95% CI: 1.18‒4.01) and taking histamine-1 receptor antagonist (H1RA) (OR: 2.38; 95% CI: 1.07‒5.39) were risk factors. Patients taking benzodiazepine as hypnotics were more likely to experience recurrent pneumonia than patients not taking hypnotics (OR: 2.29; 95% CI: 1.25-4.18). Conclusion: We identified several risk factors for recurrent pneumonia. Among them, restricting the use of H1RA and hypnotics, in particular benzodiazepines, may be useful in preventing the recurrence of pneumonia in adults aged 75 years or older.

Identifiers

PMID37143835
PMCPMC10152262
OpenAlexW4361270240

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LicenceCC BY-NC
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.