Turkish Journal of Geriatrics 2021 , Vol 24, Issue 2
Hatice Eylül BOZKURT YILMAZ1, Zühal Ekici ÜNSAL2, Mehmet Ali HABEŞOĞLU2, Sibel KARA2, Nazan ŞEN2
1Seyhan State Hospital, Pulmonary Medicine Clinic, Adana, Turkey
2Baskent University, Faculty of Medicine, Pulmonary Medicine Clinic, Adana, Turkey
DOI : 10.31086/tjgeri.2021.217 Introduction: The aim of this study was to determine the factors affecting mortality in elderly patients with community-acquired pneumonia who were receiving intensive care unit.

Materials and Methods: The study was retrospective, cross-sectional, and descriptive. The medical records of patients over 65 years of age who were admitted to the intensive care unit with a diagnosis of community-acquired pneumonia between January 1, 2013 and February 29, 2020 were reviewed. The factors associated with mortality in the patients who had died were examined.

Results: A total of 208 patients with a mean age of 75.11±5.59 years, 78 of whom were women (37.5%), were included in the study. During the follow-up 35 (16.82%) of 208 patients had died from pneumonia or complications due to pneumonia. According to multiple linear regression analysis, the following parameters were found to be predictors of mortality: Charlson comorbidity index value (odds ratio: 1.44, 95% confidence interval: 1.132?1.1841, p=0.003), chronic obstructive pulmonary disease (odds ratio: 0.292, 95% confidence interval: 0.094-1.149, p=0.038), congestive heart failure (odds ratio: 0.199, 95% confidence interval: 0.051?0.782, p=0.021), saturation value in arterial blood gas (odds ratio: 0.569, 95% confidence interval: 0.804?0.939, p<0.001), intubation duration (odds ratio: 3.476, 95% confidence interval: 1.880?6.425, p<0.001), hypertension (odds ratio: 3.449, 95% confidence interval: 0.941? 12.649, p=0.042), and the presence of diabetes mellitus (odds ratio: 3.116, 95% confidence interval: 2.673?59.021, p=0.046).

Conclusion: Community-acquired pneumonia requiring intensive care unit is a clinical condition with high mortality in the elderly patient population. The presence of comorbid diseases and prolonged intubation time may be associated with higher mortality. Keywords : Pneumonia; Mortality; Geriatrics; Intensive Care Units