Does Hospitalization Impact Survival After Lower Respiratory Infection in Nursing Home Residents?

@article{Kruse2004DoesHI,
  title={Does Hospitalization Impact Survival After Lower Respiratory Infection in Nursing Home Residents?},
  author={Robin L. Kruse and David R. Mehr and Keith E. Boles and Judith R. Lave and Ellen F. Binder and Richard W. Madsen and Ralph B. D'Agostino},
  journal={Medical Care},
  year={2004},
  volume={42},
  pages={860-870}
}
Background:Lower respiratory infection (LRI) is the leading cause of hospitalization for nursing home residents, but hospitalization is costly and may cause complications. Objective:We sought to compare mortality and cost between episodes of LRI initially treated in the hospital versus the nursing home after controlling for illness severity and the probability of hospitalization. Design:This was a prospective cohort study of nursing home residents with LRIs. Subjects:We identified 1406 episodes… 
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References

SHOWING 1-10 OF 52 REFERENCES
Predicting mortality in nursing home residents with lower respiratory tract infection: The Missouri LRI Study.
TLDR
An 8-variable model is developed to identify patient characteristics predictive of 30-day mortality in nursing home residents with an LRI that distinguishes nursing homeResidents at relatively low risk for mortality due to LRI.
Mortality from lower respiratory infection in nursing home residents. A pilot prospective community-based study.
TLDR
For nursing home residents with LRI, ADL dependency is an important mortality predictor and further research with a larger sample should lead to a useful prediction rule for outcome from nursing home-acquired LRI.
The cost of treating pneumonia in the nursing home setting.
Treatments and Outcomes of Nursing-Home-Acquired Pneumonia
TLDR
For many patients nursing-home-acquired pneumonia can be successfully treated in a nursing home with oral antibiotics at a considerable cost savings when compared with hospitalization.
Effectiveness of oral antibiotic treatment in nursing home-acquired pneumonia.
TLDR
The majority of NHAP episodes were treated successfully with oral antibiotics, but 31% failed treatment in the NH, and patients with a mechanically altered diet or requiring feeding assistance by staff had significantly higher failure rates.
Risk factors for pneumonia and other lower respiratory tract infections in elderly residents of long-term care facilities.
TLDR
Swallowing difficulty and lack of influenza vaccination are important, modifiable risks for pneumonia and other LRTIs in elderly residents of long-term care facilities and challenge the commonly held belief that pneumonia leads to long- term decline in functional status in this population.
Facility characteristics associated with hospitalization of nursing home residents: results of a national study.
TLDR
It is found that homes with special care units, more physicians, and any physician extenders (nurse practitioners or physician assistants) were less likely to hospitalize their residents and Medicare HMOs should consider the capacity of nursing facilities to limit hospital admissions.
Incidence and costs of acute medical conditions in long-stay incontinent nursing home residents.
Risk factors for 30-day mortality in elderly patients with lower respiratory tract infection. Community-based study.
TLDR
Malignancy and neurologic disease are well-recognized conditions that identify patients with lower respiratory tract infections who have a high risk of death within 30 days, and an atypical presentation with confusion, lethargy, poor eating, or recent or current antibiotic use also identifies patients, with a highrisk of 30-day mortality.
Hazards of Hospitalization of the Elderly
TLDR
The functional capacities that change with usual aging and that are further modified by hospitalization are outlined, along with the functional consequences of the interaction (Table 1).
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