Development of Severity Index for Nursing Home Pneumonia

Jae Ho Chung; Chang Hoon Han

doi:10.1378/chest.1668127

Predictors of Mortality for Nursing Home-Acquired Pneumonia: A Systematic Review

BioMed Research International ◽

10.1155/2015/285983 ◽

2015 ◽

Vol 2015 ◽

pp. 1-11 ◽

Cited By ~ 14

Author(s):

Naveen Dhawan ◽

Naushira Pandya ◽

Michael Khalili ◽

Manuel Bautista ◽

Anurag Duggal ◽

...

Keyword(s):

Systematic Review ◽

Nursing Home ◽

Pneumonia Severity Index ◽

Final Analysis ◽

Severity Index ◽

Prognostic Indicator ◽

Current Evidence ◽

Reactive Protein ◽

Weak Evidence ◽

Combination Scheme

Background. Current risk stratification tools, primarily used for CAP, are suboptimal in predicting nursing home acquired pneumonia (NHAP) outcome and mortality. We conducted a systematic review to evaluate current evidence on the usefulness of proposed predictors of NHAP mortality.Methods. PubMed (MEDLINE), EMBASE, and CINAHL databases were searched for articles published in English between January 1978 and January 2014. The literature search elicited a total of 666 references; 580 were excluded and 20 articles met the inclusion criteria for the final analysis.Results. More studies supported the Pneumonia Severity Index (PSI) as a superior predictor of NHAP severity. Fewer studies suggested CURB-65 and SOAR (especially for the need of ICU care) as useful predictors for NHAP mortality. There is weak evidence for biomarkers like C-reactive protein and copeptin as prognostic tools.Conclusion. The evidence supports the use of PSI as the best available indicator while CURB-65 may be an alternative prognostic indicator for NHAP mortality. Overall, due to the paucity of information, biomarkers may not be as effective in this role. Larger prospective studies are needed to establish the most effective predictor(s) or combination scheme to help clinicians in decision-making related to NHAP mortality.

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Scope and Severity Index: A Metric for Quantifying Nursing Home Survey Deficiency Number, Scope, and Severity Adjusted for the State-Related Measurement Bias

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2011.04.021 ◽

2012 ◽

Vol 13 (2) ◽

pp. 188.e7-188.e12 ◽

Cited By ~ 2

Author(s):

Evgeniya Antonova ◽

David Zimmerman

Keyword(s):

Nursing Home ◽

Severity Index ◽

The State ◽

Measurement Bias

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Erratum: Hearing Levels among Elderly Nursing Home Residents

Journal of Speech and Hearing Disorders ◽

10.1044/jshd.4502.283b ◽

1980 ◽

Vol 45 (2) ◽

Author(s):

Ronald L. Schow ◽

Michael A. Nerbonne

Keyword(s):

Nursing Home ◽

Nursing Home Residents ◽

Male And Female

In the February 1980 issue of this journal, the report by Ronald L. Schow and Michael A. Nerbonne ("Hearing Levels Among Elderly Nursing Home Residents") contains an error. On page 128, the labels "Male" and "Female" in Table 2 should be reversed.

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