RT Journal Article
T1 A Composite of Functional Status and Pneumonia Severity Index Improves the Prediction of Pneumonia Mortality in Older Patients.
A1 Sanz, Francisco
A1 Morales-Suárez-Varela, María
A1 Fernández, Estrella
A1 Force, Luis
A1 Pérez-Lozano, María José
A1 Martín, Vicente
A1 Egurrola, Mikel
A1 Castilla, Jesús
A1 Astray, Jenaro
A1 Toledo, Diana
A1 Domínguez, Ángela
A1 Project PI12/02079 Working Group, 
K1 community-acquired pneumonia
K1 functional status
K1 severity assessment
AB The baseline health status may be a determinant of interest in the evolution of pneumonia. Our objective was to assess the predictive ability of community-acquired pneumonia (CAP) mortality by combining the Barthel Index (BI) and Pneumonia Severity Index (PSI) in patients aged ≥ 65 years. In this prospective, observational, multicenter analysis of comorbidities, the clinical data, additional examinations and severity of CAP were measured by the PSI and functional status by the BI. Two multivariable models were generated: Model 1 including the PSI and BI and model 2 with PSI plus BI stratified categorically. The total population was 1919 patients, of whom 61% had severe pneumonia (PSI IV-V) and 40.4% had some degree of dependence (BI ≤ 90 points). Mortality in the PSI V-IV group was 12.5%. Some degree of dependence was associated with increased mortality in both the mild (7.2% vs. 3.2%; p = 0.016) and severe (14% vs. 3.3%; p  The use of a bimodal model to assess CAP mortality (PSI + BI) provides more accurate prognostic information than the use of each index separately.
YR 2018
FD 2018-01-04
LK http://hdl.handle.net/10668/11997
UL http://hdl.handle.net/10668/11997
LA en
DS RISalud
RD Apr 4, 2025