Functional status determined by Barthel Index predicts community acquired pneumonia mortality in general population

Murcia, José; Llorens, Pere; Sánchez‐Paya, José; Reus, Sergio; Boix, Vicente; Merino, Esperanza; Laghzaoui, Fadoua; Portilla, Joaquín

doi:10.1016/j.jinf.2010.08.006

Cited by 49 publications

(54 citation statements)

References 21 publications

(12 reference statements)

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“…For each patient, information was obtained on age, sex, Barthel dependency index, 26 smoking status (current smoker, ex-smoker, non smoker), alcohol consumption (> 40 g/day in men, > 20 g/day in women) and the presence or absence of underlying diseases: solid or hematologic neoplasm with activity in the past year, radiotherapy in the previous 3 months, immunosuppressive therapy or treatment with corticosteroids 20 mg/day in the preceding month, influenza immunization in any of the 3 previous seasons, pneumococcal immunization status, autoimmune disease, chronic renal failure on dialysis, disabling neurological disease (neurological disease impeding daily activities), diabetes mellitus, heart failure, chronic obstructive pulmonary disease (COPD) and liver disease. Severity of illness at presentation was quantified in 5 risk classes using the PSI at admission.…”

Section: Other Variables Analyzedmentioning

confidence: 99%

Factors associated with 30-day mortality in elderly inpatients with community acquired pneumonia during 2 influenza seasons

Torner

Izquierdo

Soldevila

et al. 2016

Human Vaccines & Immunotherapeutics

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Community-acquired pneumonia (CAP) refers to pneumonia unrelated to hospitals or extended-care facilities. The aim of this study was to determine factors associated with 30-day mortality in patients with CAP aged 65 y admitted to 20 hospitals in 7 Spanish regions during the 2013-14 and 2014-15 influenza seasons. Logistic regression was used to identify factors associated with 30-day mortality. The adjusted model included variables selected by backward elimination with a cut off of < 0.02. A total of 1928 CAP cases were recorded; 60.7% were male, 46.67% were aged 75-84 years, and 30-day mortality was 7.6% (n D 146). Pneumococcal vaccination had a significant protective effect (OR 0.68, 95% CI, 0.48-0.96; p D 0.03) and influenza vaccination in any 3 preceding seasons slight protective effect against CAP (OR 0.72, 95% CI, 0.51-1.02;p D 0.06). Factors significantly associated with 30-day mortality were having a degree of dependence (aOR 3.67, 95% CI, 2.34-5.75; p < 0,001); age 85 y (OR 3.01, 95% CI, 1.71-5.30; p < 0.001), liver impairment (aOR 2.41, 95% CI, 1.10-5.31; p D 0.03); solid organ neoplasm (aOR 2.24, 95% CI, 1.46-3.45; p < 0.001), impaired cognitive function (aOR 1.93, 95% CI, 1.22-3.05; p D 0.005), and ICU admittance (aOR2.56, 95% CI, 1.27-5.16; p D 0.009); length of stay (aOR 1.56, 95% CI, 1.02 -2.40; p D 0.04) and cardio-respiratory resuscitation (aOR 7.75, 95% CI, 1.20 -49.98; p D 0.03). No association was observed for other comorbidities such as chronic pulmonary obstructive disease (COPD) or heart conditions in the adjusted model. Offering both pneumococcal and influenza vaccination to the elderly may improve 30-day mortality in patients with CAP.

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Section: Other Variables Analyzedmentioning

confidence: 99%

Factors associated with 30-day mortality in elderly inpatients with community acquired pneumonia during 2 influenza seasons

Torner

Izquierdo

Soldevila

et al. 2016

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

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“…An increasing body of evidence has showed that functional status is more important than other factors such as age and comorbidities, for prognosis-predicting in elderly patients (Murcia et al 2010). Although it only takes about 5 minutes to answer by the patient himself/herself or the main caregiver (Murcia et al 2010), the BI scale is regarded as reliable and extensively applied on the field of in-patient rehabilitation, home care, nursing care, skilled nursing, and community (Wojkowska-Mach et al 2013;Meyer et al 2015).…”

Section: Barthel Indexmentioning

confidence: 99%

“…Although it only takes about 5 minutes to answer by the patient himself/herself or the main caregiver (Murcia et al 2010), the BI scale is regarded as reliable and extensively applied on the field of in-patient rehabilitation, home care, nursing care, skilled nursing, and community (Wojkowska-Mach et al 2013;Meyer et al 2015). Even a small change of BI scores is clinical relevant and beyond measurement error (Hsieh et al 2007).…”

Section: Barthel Indexmentioning

confidence: 99%

“…BI has been used to predict length of hospital stay, prognosis and mortality in many acute and chronic health problems (Torres et al 2004;Murcia et al 2010). By using it to evaluate functional status of CAP patients, Uematsu et al (2015) found that lower BI scores were associated with higher hospitalization costs and longer duration of hospital stay, Calle et al (2014) demonstrated that functional deficit defined as BI < 40 points at admission was a predictor of mortality, whereas Murcia et al (2010) disclosed that even mild functional dependence (BI ≤ 80 points) was associated with 4-times higher risk of short-term (30-day) mortality among patients with CAP.…”

Section: Barthel Indexmentioning

confidence: 99%

“…By using it to evaluate functional status of CAP patients, Uematsu et al (2015) found that lower BI scores were associated with higher hospitalization costs and longer duration of hospital stay, Calle et al (2014) demonstrated that functional deficit defined as BI < 40 points at admission was a predictor of mortality, whereas Murcia et al (2010) disclosed that even mild functional dependence (BI ≤ 80 points) was associated with 4-times higher risk of short-term (30-day) mortality among patients with CAP. Besides, Torres et al (2004) also revealed baseline poor functional status as a risk factor associated with longer length of hospital stay, and a higher mortality after both short-term (30-day) and long-term (18-month) follow-up in CAP patients.…”

Section: Barthel Indexmentioning

confidence: 99%

See 2 more Smart Citations

Lower Barthel Index Is Associated with Higher Risk of Hospitalization-Requiring Pneumonia in Long-Term Care Facilities

Shiao

Hsu

Chen

et al. 2015

Tohoku J. Exp. Med.

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Pneumonia is an important infectious entity that affects residents in long-term care facilities (LTCFs), whereas hospitalization-requiring pneumonia (HRP) represents a more critical patient condition with worse outcomes. The evidence addressing the association between Barthel index and risk of HRP among LTCF residents is lacking. A multicenter, retrospective cohort study was conducted in three LTCFs enrolling adult patients who resided for 3 months or more and ever underwent Barthel index evaluation within a study period of January 1 to December 31, 2010. The endpoint was HRP after enrollment. A total of 299 patients (169 women; age, 79.0 ± 12.2 years) were enrolled and categorized into HRP Group (n = 68; 36 women; age, 79.1 ± 11.3 years) and Non-HRP Group (n = 231; 133 women; age, 79.0 ± 12.4 years) by the endpoint. The patients in HRP Group had significantly lower Barthel index (8.6 versus 25.8 points, p < 0.001) but higher proportion of chronic obstructive pulmonary disease (13.2% versus 3.9%, p = 0.004). By the multivariate analysis of logistic regression, we found that lower Barthel index (odds ratio (OR), 0.967; p < 0.001), existence of chronic obstructive pulmonary disease (OR, 4.192; p = 0.015), and feeding route (percutaneous endoscopic gastrostomy comparing with oral feeding; OR, 0.177; p = 0.012) were independently associated with HRP. In conclusion, a lower Barthel index is significantly associated with the occurrence of pneumonia that requires hospitalization in long-term care residents. Barthel index is a useful and reliable tool for risk evaluation in this population.

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Variation in Acute Care Rehabilitation and 30-Day Hospital Readmission or Mortality in Adult Patients With Pneumonia

et al. 2020

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Key Points Question Is the amount of physical and occupational therapy received by patients with pneumonia associated with 30-day hospital readmission or death? Findings In this cohort study of 30 746 patients with pneumonia or influenza-related conditions discharged from 12 acute care hospitals in western Pennsylvania, there was a significant inverse association between the amount of therapy received and the risk of 30-day hospital readmission or death. Meaning In this study, the amount of therapy received by patients with pneumonia or influenza-related conditions in the acute care setting was associated with decreases in the risk of 30-day hospital readmission or death.

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Functional status determined by Barthel Index predicts community acquired pneumonia mortality in general population

Cited by 49 publications

References 21 publications

Factors associated with 30-day mortality in elderly inpatients with community acquired pneumonia during 2 influenza seasons

Factors associated with 30-day mortality in elderly inpatients with community acquired pneumonia during 2 influenza seasons

Lower Barthel Index Is Associated with Higher Risk of Hospitalization-Requiring Pneumonia in Long-Term Care Facilities

Variation in Acute Care Rehabilitation and 30-Day Hospital Readmission or Mortality in Adult Patients With Pneumonia

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