A-DROP system for prognostication of NHCAP inpatients

Koizumi, Takeshi; Tsukada, Hiroki; Ito, Kenichi; Shibata, Satoshi; Hokari, Satoshi; Tetsuka, Takafumi; Aoki, Nobumasa; Moro, Hiroshi; Tanabe, Yoshinari; Kikuchi, Toshiaki

doi:10.1016/j.jiac.2017.04.013

Cited by 19 publications

(20 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pneumonia severity was evaluated using the A‐DROP scoring system, which consists of scores for age, dehydration, respiratory failure, consciousness disturbance, and low blood pressure. This scoring system was a modified version of the CURB‐65 system of the British Thoracic Society (BTS) and was found to be useful for predicting mortality in adult patients with community‐acquired pneumonia and the Japanese version of healthcare‐associated pneumonia . The patients’ swallowing status before admission was assessed using the Food Intake Level Scale (FILS) (Table ).…”

Section: Methodsmentioning

confidence: 99%

“…This scoring system was a modified version of the CURB-65 system of the British Thoracic Society (BTS) and was found to be useful for predicting mortality in adult patients with community-acquired pneumonia and the Japanese version of healthcare-associated pneumonia. 11,12 The patients' swallowing status before admission was assessed using the Food Intake Level Scale (FILS) ( Table 1). Its reliability and validity have been well demonstrated.…”

Section: Data Acquisitionmentioning

confidence: 99%

See 1 more Smart Citation

Predictors for achieving oral intake in older patients with aspiration pneumonia: Videofluoroscopic evaluation of swallowing function

Ito

Kawakami

Ohara

et al. 2018

Geriatrics Gerontology Int

View full text Add to dashboard Cite

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Data Acquisitionmentioning

confidence: 99%

Predictors for achieving oral intake in older patients with aspiration pneumonia: Videofluoroscopic evaluation of swallowing function

Ito

Kawakami

Ohara

et al. 2018

Geriatrics Gerontology Int

View full text Add to dashboard Cite

show abstract

“…Methicillin‐resistant Staphylococcus aureus (MRSA), Pseudomonas aeruginosa , extended spectrum β‐lactamase (ESBL)‐ Escherichia coli , ESBL‐ Klebsiella pneumoniae and Acinetobacter spp. were defined as PDR pathogens …”

Section: Methodsmentioning

confidence: 99%

Utility of the Quick Sequential Organ Failure Assessment in Japanese patients with nursing‐ and healthcare‐associated pneumonia

Noguchi

Yatera

Naito

et al. 2018

Geriatrics Gerontology Int

View full text Add to dashboard Cite

Aim To clarify the utility of sepsis evaluation using the Quick Sequential Organ Failure Assessment (qSOFA) tool in addition to the Pneumonia Severity Index (PSI); age, dehydration, respiration, orientation and blood pressure (A‐DROP) index; and immunodeficiency, respiration, orientation, age and dehydration (I‐ROAD) scoring systems, and risk factor evaluation of potentially drug‐resistant (PDR) pathogens are suggested in the 2017 guidelines for pneumonia of the Japanese Respiratory Society in nursing‐ and healthcare‐associated pneumonia patients. Methods We included 289 hospitalized nursing‐ and healthcare‐associated pneumonia patients between April 2016 and March 2017, and investigated the ability of PSI, A‐DROP, I‐ROAD and qSOFA to predict pneumonia‐related mortality. We also evaluated the associations among the risk factors for PDR pathogens, the detection ratio of PDR pathogens and pneumonia‐related mortality. Results The mortality rate of pneumonia during hospitalization was 6.9% (20/289). The area under the curve for pneumonia‐related mortality predicted using PSI, A‐DROP, I‐ROAD and qSOFA was 0.697 (95% confidence interval [CI] 0.59–0.80), 0.63 (95% CI 0.51–0.76), 0.61 (95% CI 0.52–0.70) and 0.701 (95% CI 0.59–0.81), respectively. In addition, higher areas under the curve were observed for pneumonia‐related mortality predicted according to a combination of PSI and hypoalbuminemia (<2.5 g/dL) (0.75, 95% CI 0.64–0.86), and qSOFA and hypoalbuminemia (0.74, 95% CI 0.62–0.86) than for PSI and qSOFA alone. No significant associations were observed among the risk factors for PDR pathogens, the detection ratios of PDR pathogens and pneumonia‐related mortality. Conclusions qSOFA and the combination of qSOFA and hypoalbuminemia might be simple and useful evaluation tools for predicting pneumonia‐related mortality in nursing‐ and healthcare‐associated pneumonia patients. Geriatr Gerontol Int 2019; 19: 177–183.

show abstract

“…NHCAP was defined as pneumonia diagnosed in a person who (1) was resident in an extendedcare facility or nursing home; (2) had been discharged from a hospital within the previous 90 days; (3) was elderly or disabled and was receiving nursing care; or (4) was receiving regular endovascular treatment as an outpatient. While the A-DROP score categorizes the severity of CAP, it is also useful for predicting the prognosis of NHCAP 18 ) . The causes of pneumonia were categorized according to the primary doctor's clinical decision.…”

Section: Descriptive Data Collectionmentioning

confidence: 99%

Investigation into the mobility of elderly patients with pneumonia using triaxial accelerometer data

et al. 2019

View full text Add to dashboard Cite

Objective: This study aimed to clarify the levels of physical activity of elderly pneumonia patients. Method: This is a prospective observational study among pneumonia patients who were hospitalized in a clinic within a general and respiratory medicine hospital department, and community-dwelling elderly. Activity levels of 29 elderly patients with pneumonia who were aged > 75 years ( PP group ) , and 15 community-dwelling healthy elderly (CD group) were measured. Triaxial accelerometers were attached to the patients' left chest regions from 48 h until 7 days after hospitalization. Results: The time spent in the upright position was 320.0 min/day in the PP group and 729.0 min/day in the CD group. The time spent walking was 3.8 min/day in the PP group, and 71.0 min/day in the CD group. In the PP group, the times spent in the upright position and walking did not increase during the period studied, that is, from 48 h until 7 days after hospitalization. Conclusion: The time spent in the upright position and walking among elderly patients with pneumonia did not increase, despite gradual improvement of the disease.

show abstract

A-DROP system for prognostication of NHCAP inpatients

Cited by 19 publications

References 15 publications

Predictors for achieving oral intake in older patients with aspiration pneumonia: Videofluoroscopic evaluation of swallowing function

Predictors for achieving oral intake in older patients with aspiration pneumonia: Videofluoroscopic evaluation of swallowing function

Utility of the Quick Sequential Organ Failure Assessment in Japanese patients with nursing‐ and healthcare‐associated pneumonia

Investigation into the mobility of elderly patients with pneumonia using triaxial accelerometer data

Contact Info

Product

Resources

About