Clinical Profile and Predictors of Outcomes in Older Inpatients with XXXX in a Tertiary Care Hospital in Southern India.

@entity1 @entity2313 @entity6 @entity4988 @entity281 @entity1850 @entity933 @entity2885 @entity526
BACKGROUND: @entity2885 is a serious infection associated with significant morbidity and mortality in the elderly with an estimated annual incidence rate of around 10% from previous studies. Older @entity1 are at a higher risk for @entity2885 due to multiple factors including structural, functional and co-existent conditions. There is very little data on the incidence, clinical features and outcomes among elderly @entity1 with @entity2885 in India. MATERIALS AND METHODS: We performed a retrospective review of case records of 100 consecutive @entity1 over the age of 60 years with @entity2885 admitted to a tertiary care hospital. RESULTS: One fourth of our @entity1 (26%) did not have fever, 49% had @entity933 and 52% had @entity1850 ( @entity1850 ). Sixty five percent of the @entity1 were @entity6 and 60% had @entity281 caused by extended spectrum beta lactamase (ESBL) producing organisms. As in other studies, the commonest organism isolated was @entity526 (49%). A low serum @entity2313 level was a predictor of mortality (p<0.001) and increased length of hospital stay (p<0.005). @entity933 was also associated with a poor outcome (p=0.009) in these @entity1 . @entity1 with @entity2885 secondary to ESBL producing organisms had a higher length of stay (p<0.005). CONCLUSION: @entity4988 and @entity933 predicted poor outcomes in our @entity1 . We found a high prevalence of @entity281 in this study. Further research is required to assess the efficacy of aggressive management of @entity933 and low @entity2313 in improving health and cost outcomes.
