Evidence map›Paper›PMID 40734788›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2025

Infectious Disease Emergencies in Older Adults in India: A Prospective Observational Study Comparing Youngest Old, Middle Old, and Oldest Old Patients.

Hasan Kadar, Sathvik R Erla, Archana Angrup, Mandip Bhatia, Navneet Sharma, Ashok K Pannu

Abstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Hasan KadarDepartment of Internal Medicine (Acute Care and Emergency Medicine Unit), Postgraduate Institute of Medical Education and Research, Nehru Hospital, Chandigarh, India.ORCID https://orcid.org/0009-0009-5241-6247
Sathvik R ErlaDepartment of Internal Medicine (Acute Care and Emergency Medicine Unit), Postgraduate Institute of Medical Education and Research, Nehru Hospital, Chandigarh, India.ORCID https://orcid.org/0009-0000-6715-1709
Archana AngrupDepartment of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.ORCID https://orcid.org/0000-0002-9051-3007
Mandip BhatiaDepartment of Internal Medicine (Acute Care and Emergency Medicine Unit), Postgraduate Institute of Medical Education and Research, Nehru Hospital, Chandigarh, India.ORCID https://orcid.org/0000-0002-6286-1231
Navneet SharmaDepartment of Internal Medicine (Acute Care and Emergency Medicine Unit), Postgraduate Institute of Medical Education and Research, Nehru Hospital, Chandigarh, India.ORCID https://orcid.org/0000-0001-5707-9686
Ashok K PannuDepartment of Internal Medicine (Acute Care and Emergency Medicine Unit), Postgraduate Institute of Medical Education and Research, Nehru Hospital, Chandigarh, India.ORCID https://orcid.org/0000-0002-4476-3478

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: Infections remain a common cause of emergency department (ED) admissions in older adults, particularly in low and middle-income countries. This study investigates the clinical and microbiological spectrum and outcomes of infection-related emergencies in older adults in North India, comparing the youngest old (65-74 years), middle old (75-84 years), and oldest old (≥85 years) patients. Patients and methods: This prospective observational study included older patients (≥65 years) with community-acquired infections admitted to the medical ED of a tertiary care academic hospital in North India from June 2023 to May 2024. Patients with hospital-acquired infections, including those that developed during prior admissions at referring hospitals, were excluded. Results: We enrolled 300 patients (mean age 74.2 years, 51% males), including 164 youngest old, 92 middle old, and 44 oldest old. The most prevalent infections were pneumonia (39.3%), urinary tract infection (UTI) (13.3%), cholangitis (9.3%), and tuberculosis (7.7%). Microbiological confirmation was achieved in 37.3%, with frequent isolation of drug-resistant organisms such as Conclusion: Infection-related emergencies in older adults, especially the oldest old, pose diagnostic challenges and carry high mortality. Pneumonia is a major cause of ED admission and death among older adults in India. How to cite this article: Kadar H, Erla SR, Angrup A, Bhatia M, Sharma N, Pannu AK. Infectious Disease Emergencies in Older Adults in India: A Prospective Observational Study Comparing Youngest Old, Middle Old, and Oldest Old Patients. Indian J Crit Care Med 2025;29(7):569-577.

Indexed as

ElderlyEmergency departmentGeriatricsInfectionsOlder adultsOldest old

Identifiers

PMID40734788
PMCPMC12302256

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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.