Community‐Acquired Pneumonia in the Intensive Care Unit: Epidemiological and Prognosis Data in Older People

Abstract

The bacterial etiology provides some approaches to empirical therapy for older patients with severe community-acquired pneumonia. In addition, the inappropriateness of withholding intensive care for reasons of age alone is emphasized.

Underlying Disorders and Their Impact on the Host Response to Infection

“…Soriano et al [16] also found that rapidly or ultimately fatal chronic underlying disorder was an independent predictor for mortality among 225 episodes of bacteremia due to infection with methicillin-resistant Staphylococcus aureus. Rapidly and ultimately fatal underlying disorder was also reported as an independent predictor of mortality in patients in intensive care units with communityacquired pneumonia [17] and nosocomial pneumonia [18]. Consequently, such severe chronic underlying disorders have been integrated into scoring systems deriving from high-quality databases.…”

Impact of thrombocytopenia on outcome of patients admitted to ICU for severe community-acquired pneumonia

“…14 Diagnosis of aspiration was retained in patients with either witnessed aspiration or risk factors for aspiration (altered mental status, abnormal gag reflex of swallowing mechanism, intestinal obstruction) and suggestive chest X-ray infiltrates. 15 According to the admission platelet count, patients were classified into 5 categories: !150 Â 10 9 /L, 101e149 Â 10 9 /L, 51e100 Â 10 9 /L, 21e50 Â 10 9 /L, and 20 Â 10 9 /L, as in the Sepsis Related Organ Failure Assessment score study. 16 Finally, patient mortality was evaluated at the time of ICU discharge.…”

Aspiration pneumonitis in an overdose population: Frequency, predictors, and outcomes

“…A spiration pneumonitis and aspiration pneumonia are associated with significant morbidity and mortality, but despite this, they are poorly characterized in most at-risk populations (1)(2)(3). Aspiration pneumonitis is a chemical injury to the lung parenchyma by the acid contents of the stomach (4).…”