Characteristic Factors of Aspiration Pneumonia to Distinguish from Community-Acquired Pneumonia among Oldest-Old Patients in Primary-Care Settings of Japan

• DOI: 10.3390/geriatrics5030042
• Publication Date: 2020-07-07T14:41:09Z
• Authors: Toshie Manabe; Kazuhiko Kotani; Hiroyuki Teraura; Kensuke Minami; Takahide Kohro; Masami Matsumura
• Keywords: Aspiration Pneumonia; Stepwise regression

Background: Aspiration pneumonia (AsP), a phenotype of community-acquired (CAP), is common and problematic disease with symptomless recurrence fatality in old adults. Characteristic factors for distinguishing AsP from CAP need to be determined manage AsP. No such factorial markers oldest-old adults, who are often seen the primary-care settings, have yet been established. Methods: From database our Primary Care General Practice Study, including general backgrounds, clinical conditions laboratory findings collected by primary care physicians practitioners, records 130 patients diagnosed either (n = 72) or 58) were extracted. associated diagnosis statistically compared between CAP. Results: The older group (median 90 years old) than (86 old). body temperature, heart rate, diastolic blood pressure lower those Witnessed meal dysphagia families caregivers was reported only Living nursing home, comorbidities cerebral infarction dementia (as positive factors) hypertension negative factor) considered predictive diagnose stepwise logistic regression analysis. Conclusions: Among adults living home risks suggested characteristic diagnosing Age some relevant information may help also useful caregivers.