Introducción: La prevalencia de Neumonía en el mundo está aumentando notablemente y constituye un serio problema de salud pública, sobre todo por ser una de las causas de mortalidad en la población adulta mayor. Objetivos: Determinar los factores asociados a mortalidad en pacientes ancianos con neumonía en el Hospital Central FAP. Métodos: Se realizó un estudio Observacional, Analítico, Retrospectivo. Relacional. Se revisó 160 historias clínicas de pacientes ancianos (>60 años) hospitalizados entre enero 2015 y setiembre 2016. Para el análisis de datos se usó el programa SPSS V22. Resultados: De la población total se obtuvo: 42 fallecidos (26%) y 118 sobrevivientes (74%). De los fallecidos: 48% fueron hombres y 52% mujeres. La edad media de fallecidos hombres fue de 87,7 años y mujeres 85,4 años. Encontramos que el 2% presentaba 0 comorbilidades, 22% entre 1 a 2, 52% entre 3 a 4 y 24% de 5 a más. Los factores asociados a mortalidad en nuestro estudio son: PCR ≥ 76 mg/dl [OR= 5.607,)], hemoglobina < 11 gr/dl [OR= 3.188 y un IC al 95% (1.390 -7.312)] y grado de dependencia ≥ 3 [OR= 2.378 y un IC al 95% (1.093 -5.174)]. Conclusión: Neumonía es una importante causa de mortalidad en el adulto mayor. La neumonía adquirida en la comunidad es el tipo más frecuente en la población anciana. Presentar el grado de Dependencia ≥ 3, hemoglobina< 11 gr/dl, PCR≥ 76 mg/l implica aumento del riesgo de mortalidad en el adulto mayor con neumonía.Palabras clave: Neumonía; Mortalidad; PCR; Hemoglobina; Comorbilidad. (fuente: DeCS BIREME) ABSTRACT Introduction:The prevalence of Pneumonia in the world is increasing significantly and constitutes a serious public health problem, mainly because it is one of the causes of mortality in the adult population. Objective: The objective of this study is to evaluate compliance with the proposed standards. Methods: An observational, analytical, retrospective study was carried out. Relational. We reviewed 160 clinical histories of elderly patients (> 60 years) hospitalized between January 2015 and September 2016. The SPSS V22 program was used for data analysis. Results: Of the total population, 42 died (26%) and 118 survivors (74%). Of the dead: 48% were men and 52% were women. The mean age of deceased males was 87.7 years and females 85.4 years. We found that 2% presented 0 comorbidities, 22% between 1 and 2, 52% between 3 and 4 and 24% of 5 and more. The factors associated with mortality in our study were: CRP ≥ 76 mg / dl [OR = 5.607,)], hemoglobin <11 g / dl [OR = 3188 and 95% CI -7.312)] and degree of dependence ≥ 3 [OR = 2.378 and 95% CI (1.093 -5.174)]. Conclusion: Pneumonia is an important cause of mortality in the elderly. Community-acquired pneumonia is the most common type in the elderly population. To present the degree of Dependence ≥ 3, hemoglobin <11 g / dl, CRP≥ 76 mg / l implies increased risk of mortality in the elderly with pneumonia.
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