Changes in physical function after hospitalization in patients with nursing and healthcare-associated pneumonia

被引:18
作者
Kato, Tadashi [1 ]
Miyashita, Naoyuki [1 ]
Kawai, Yasuhiro [1 ]
Horita, Nobuyuki [2 ]
Yano, Shoichiro [1 ]
Oka, Yuko [1 ]
Oda, Takashi [1 ]
Okimoto, Niro [1 ]
机构
[1] Kawasaki Med Sch, Dept Internal Med 1, Okayama, Japan
[2] Yokohama City Univ, Grad Sch Med, Dept Pulmonol, Yokohama, Kanagawa, Japan
关键词
Community-acquired pneumonia; Extended healthy life expectancy; Functional change; Nursing and healthcare-associated pneumonia; Pneumococcal vaccination; COMMUNITY-ACQUIRED PNEUMONIA; RANDOMIZED CONTROLLED-TRIAL; ELDERLY-PATIENTS; CLINICAL-FEATURES; INTERVENTION; DISABILITY; OUTCOMES; DECLINE; NHCAP;
D O I
10.1016/j.jiac.2016.06.005
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
To clarify the functional changes after hospitalization due to pneumonia in elderly Japanese patients, we investigated the changes in physical functioning, nutritional routes, and diet that occurred after hospitalization in patients with nursing and healthcare-associated pneumonia (NHCAP). We analyzed 405 patients with NHCAP and compared findings with 448 patients with community-acquired pneumonia (CAP). Among the NHCAP patients, 140 (34%) patients showed a decline in activities of daily living function between baseline and discharge. After hospital discharge, 149 (37%) NHCAP patients did not return to the same residence location compared with where they were living prior to hospital admission. The frequency of this outcome was significantly higher in NHCAP patients than in CAP patients (p < 0.0001). After 6 months' follow-up, of the patients who transferred to different hospitals, 41 (73%) patients with CAP had returned to their own home, but only 16 (20%) patients with NHCAP could return home (p < 0.0001). Rates of alteration of nutritional route and type of diet from oral nutrition were significantly higher in NHCAP patients compared with CAP patients (22% vs 4%, p < 0.0001). Our results demonstrated that approximately one-third of hospitalized patients with NHCAP showed a decline in physical function. In addition, approximately one-fifth of NHCAP patients had changed their route of nutrition and type of diet. Our results indicated that physicians should attach greater importance to preventative measures against NHCAP rather than relying on antibiotic therapy post-infection in the management of pneumonia in elderly patients in order to extend their healthy life expectancy. (C) 2016 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:662 / 666
页数:5
相关论文
共 29 条
[1]  
[Anonymous], RESPIROLOGY
[2]  
[Anonymous], RESPIROLOGY
[3]   Clinical Characteristics and Outcomes of Hospitalized Older Patients with Distinct Risk Profiles for Functional Decline: A Prospective Cohort Study [J].
Buurman, Bianca M. ;
Hoogerduijn, Jita G. ;
van Gemert, Elisabeth A. ;
de Haan, Rob J. ;
Schuurmans, Marieke J. ;
de Rooij, Sophia E. .
PLOS ONE, 2012, 7 (01)
[4]   Geriatric Conditions in Acutely Hospitalized Older Patients: Prevalence and One-Year Survival and Functional Decline [J].
Buurman, Bianca M. ;
Hoogerduijn, Jita G. ;
de Haan, Rob J. ;
Abu-Hanna, Ameen ;
Lagaay, A. Margot ;
Verhaar, Harald J. ;
Schuurmans, Marieke J. ;
Levi, Marcel ;
de Rooij, Sophia E. .
PLOS ONE, 2011, 6 (11)
[5]   Effects of early physiotherapy with respect to severity of pneumonia of elderly patients admitted to an intensive care unit: a single center study in Japan [J].
Chigira, Yusuke ;
Takai, Tomoko ;
Igusa, Hironobu ;
Dobashi, Kunio .
JOURNAL OF PHYSICAL THERAPY SCIENCE, 2015, 27 (07) :2053-2056
[6]   Effects of a multicomponent intervention on functional outcomes and process of care in hospitalized older patients: A randomized controlled trial of Acute Care for Elders (ACE) in a community hospital [J].
Counsell, SR ;
Holder, CM ;
Liebenauer, LL ;
Palmer, RM ;
Fortinsky, RH ;
Kresevic, DM ;
Quinn, LM ;
Allen, KR ;
Covinsky, KE ;
Landefeld, CS .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2000, 48 (12) :1572-1581
[7]   Hospitalization-Associated Disability "She Was Probably Able to Ambulate, but I'm Not Sure" [J].
Covinsky, Kenneth E. ;
Pierluissi, Edgar ;
Johnston, C. Bree .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2011, 306 (16) :1782-1793
[8]   A prospective comparison of nursing- and healthcare-associated pneumonia (NHCAP) with community-acquired pneumonia (CAP) [J].
Fukuyama, Hajime ;
Yamashiro, Shin ;
Tamaki, Hitoshi ;
Kishaba, Tomoo .
JOURNAL OF INFECTION AND CHEMOTHERAPY, 2013, 19 (04) :719-726
[9]   Change in Disability After Hospitalization or Restricted Activity in Older Persons [J].
Gill, Thomas M. ;
Allore, Heather G. ;
Gahbauer, Evelyne A. ;
Murphy, Terrence E. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2010, 304 (17) :1919-1928
[10]  
Hoogerduijn JG, 2007, J CLIN NURS, V22, P1322