Abstract：
OBJECTIVES:To describe the features of community-acquired pneumonia (CAP) requiring hospitalization in subjects receiving home care. DESIGN:Prospective study from November 15, 2000, to November 14, 2002. SETTING:Six hospitals in the Edmonton, Canada, area. PARTICIPANTS:Two thousand four hundred sixty-four subjects aged 17 years and older with CAP, 21.9% of whom were receiving home care. MEASUREMENTS:Pneumonia attack rates, demographic features, severity of illness, medication, length of stay, mortality, in hospital complications, and time to achieve physiological stability. RESULTS:The overall rate of CAP requiring a visit to an emergency department in home care recipients was 25 per 1,000 person years, 90.8% of whom were admitted to the hospital for treatment. Patients who were receiving home care at the time of admission were older and less likely to be current tobacco smokers, had higher in-hospital mortality (11%) and a longer length of stay, were receiving more medications, and had more comorbidity and fewer symptoms except for shortness of breath and altered mental state than those who were not receiving home care. Home care patients had four times as many myocardial infarctions and recurrent aspiration as the non-home care patients. Falls occurred five times more often, and urinary catheters were inserted twice as often. Except for oxygen saturation, time to achieve physiological stability was the same for the two groups of patients. Half (51.2%) of the home care patients passed the get-up-and-go test, compared with 75% (P<.001) of the non-home care patients. CONCLUSION:Home care patients with CAP had an 11% mortality rate and a higher rate of complications than those who did not receive home care.
journal_name
J Am Geriatr Socjournal_title
Journal of the American Geriatrics Societyauthors
Marrie TJ,Huang JQdoi
10.1111/j.1532-5415.2005.53264.xsubject
Has Abstractpub_date
2005-05-01 00:00:00pages
834-9issue
5eissn
0002-8614issn
1532-5415pii
JGS53264journal_volume
53pub_type
杂志文章abstract：OBJECTIVES:To develop and test the Function-Focused Care in Assisted Living (FFC-AL) intervention so as to alter the decline that older adults in AL experience. DESIGN:Cluster-randomized controlled trial using repeated measures to test the effect of FFC-AL. SETTING:Four AL facilities with at least 100 beds. PARTICIP...
journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章,多中心研究,随机对照试验
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更新日期：2011-12-01 00:00:00
abstract：OBJECTIVES:To examine the cost-effectiveness of a randomized, clinical trial of a home-based intervention for caregivers of people with dementia. DESIGN:This cost-effectiveness analysis examined Resources for Enhancing Alzheimer's Caregivers Health (REACH II), a multisite, randomized, clinical trial, from June 2002 th...
journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章,随机对照试验
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更新日期：2008-03-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/jgs.15434
更新日期：2018-08-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
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更新日期：1986-02-01 00:00:00
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doi：10.1111/j.1532-5415.2008.02092.x
更新日期：2009-01-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
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doi：10.1111/jgs.15834
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.1987.tb04638.x
更新日期：1987-04-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.2000.tb05003.x
更新日期：2000-05-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章,评审
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更新日期：2002-07-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.2012.04041.x
更新日期：2012-07-01 00:00:00
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doi：10.1111/jgs.13126
更新日期：2014-12-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/jgs.14540
更新日期：2017-01-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章,多中心研究
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更新日期：2013-03-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.1983.tb05417.x
更新日期：1983-02-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.2007.01196.x
更新日期：2007-06-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.2009.02675.x
更新日期：2010-02-01 00:00:00
abstract：OBJECTIVE:To evaluate the association between selected chronic medical conditions (CMCs) and fall injury events at home among community-dwelling older persons. DESIGN:Population-based case-control study. SETTING:The general community. PARTICIPANTS:Persons aged 65 and older living at home, excluding those using a whe...
journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.1997.tb01480.x
更新日期：1997-06-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
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doi：10.1111/j.1532-5415.2009.02480.x
更新日期：2009-10-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章,多中心研究,随机对照试验
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更新日期：2017-04-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.1992.tb01831.x
更新日期：1992-01-01 00:00:00
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pub_type： 杂志文章
doi：10.1046/j.1532-5415.2003.51458.x
更新日期：2003-10-01 00:00:00
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更新日期：2010-11-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
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更新日期：2014-10-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章,评审
doi：10.1111/j.1532-5415.1996.tb02937.x
更新日期：1996-09-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.1983.tb02198.x
更新日期：1983-09-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
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doi：10.1111/jgs.15850
更新日期：2019-07-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/jgs.15617
更新日期：2018-12-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章,评审
doi：10.1111/j.1532-5415.2005.53350.x
更新日期：2005-06-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章
doi：10.1111/j.1532-5415.1997.tb03092.x
更新日期：1997-05-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1532-5415.2010.03181.x
更新日期：2010-12-01 00:00:00
