Analysis of prognostic factors of severe pneumonia in the elderly patients
Xinghu Zhang · Chinese Journal of Health Care and Medicine · 2012
Objective To investigate the prognostic factors of severe pneumonia in the elderly,and to take appropriate measures to improve the prognosis.Methods Analyze the clinical data from 82 cases of elderly hospital patients with severe pneumonia admitted from February 2000 to May 2011.Results Among the 82 cases,there were 67 cases of hospital-acquired pneumonia and 15 cases of community acquired pneumonia,59 patients died while 23 survived.The age of the death group was significantly greater than that of the survival group[(84.67±3.58) vs(76.25±6.8),P0.05].APACHE Ⅱ scores of the death group were significantly higher than that of the survival group.The APACHE II scores of the survival group were significantly reduced after treatment(16.32±4.24),while that of the death group remained the same(28.53±2.71).Conclusions Old age,hospital-acquired pneumonia,underlying diseases and multi-organ involvement,high APACHE Ⅱ score are the major risk factors that influence the prognosis of elderly patients with severe pneumonia.Adequate early empirical antibiotic therapy,nutritional support and immune therapy,early prevention of major organ failure,mechanical ventilation timely and CVVH treatment can reduce the mortality of elderly patients with severe pneumonia.