セキ　マサフミ   SEK Masafumi   関　雅文    所属   埼玉医科大学  医学部 国際医療センター　感染症科・感染制御科    職種   教授
論文種別	学術雑誌(原著)
言語種別	日本語
査読の有無	査読あり
表題	[Clinical characteristics of pneumonia in the oldest old patients].
掲載誌名	正式名：Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society ISSNコード：13433490
巻・号・頁	46(9),687-92頁
著者・共著者	Shigeki Nakamura,Katsunori Yanagihara,Tomo Mihara,Koichi Izumikawa,Masafumi Seki,Hiroshi Kakeya,Yoshihiro Yamamoto,Yoshifumi Soejima,Takayoshi Tashiro,Shigeru Kohno
発行年月	2008/09
概要	OBJECTIVE: The incidence and mortality rates of pneumonia are far higher in the elderly, especially. There are few report which investigate pneumonia only in the oldest old. METHOD: We performed a retrospective study of 34 patients over age 80 who were admitted to our hospital with a diagnosis of community-acquired pneumonia over a period of 24 months. RESULTS: The patients' mean age was 87.1 years. Of these, 19 were men (55.9%) and 15 were women (44.1%). Upon admission, the most common symptom was anorexia (87.5%). In the elderly patients, nervous system diseases, such as cerebrovascular disease and dementia, were the most common underlying diseases. The crude mortality rate was 14.7%, and the mean duration of hospitalization 33.7 days. In laboratory findings, serum creatinine and urea nitrogen levels were high, and percutaneous oxygen saturation level was low. Methicillin-resistant Staphylococcus aureus was the most common causative pathogen. The patients were treated equally with carbapenems (44.1%) and penicillins (44.1%). CONCLUSION: Pneumonia may be associated with reduced respiratory symptom, raising the possibility that its diagnosis may be delayed, resulting in a severe co
PMID	18939409