Association between delayed diagnosis and treatment and pneumonia mortality in elderly patients, Buriram Hospital, Thailand
4
Issued Date
2024
Copyright Date
2019
Language
eng
File Type
application/pdf
No. of Pages/File Size
ix, 49 leaves : ill., maps
Access Rights
open access
Rights
ผลงานนี้เป็นลิขสิทธิ์ของมหาวิทยาลัยมหิดล ขอสงวนไว้สำหรับเพื่อการศึกษาเท่านั้น ต้องอ้างอิงแหล่งที่มา ห้ามดัดแปลงเนื้อหา และห้ามนำไปใช้เพื่อการค้า
Rights Holder(s)
Mahidol University
Bibliographic Citation
Thematic Paper (M.P.H. (Public Health))--Mahidol University, 2019
Suggested Citation
Worrayot Darasawang Association between delayed diagnosis and treatment and pneumonia mortality in elderly patients, Buriram Hospital, Thailand. Thematic Paper (M.P.H. (Public Health))--Mahidol University, 2019. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/91721
Title
Association between delayed diagnosis and treatment and pneumonia mortality in elderly patients, Buriram Hospital, Thailand
Author(s)
Advisor(s)
Abstract
Pneumonia is an infectious disease of lung parenchyma. In Thailand, the mortality rate of pneumonia is mainly found in elderly group. Delayed diagnosis and treatment is hypothesized to be a possible factor of pneumonia mortality rate in elderly patients because pneumonia clinical presentation in the elderly is hardly detected. The age-matched case-control study was carried out among elderly patients. The medical records of patients age 60 years or older with community-acquired pneumonia (CAP) from 1st January 2016 to 31st December 2018 were retrieved. Case group was 110 deaths caused by pneumonia and control group was 110 patients who recovered from pneumonia. Factors provided p-value less than or equal 0.2 were further analyzed by multivariable conditional logistic regression. All 220 elderly CAP patients without HIV infection were reported, case group mainly had symptoms as dyspnea (72.7%), fever (55.5%), and cough (49.1%), whereas the control group showed fever (74.5%), cough (69.1%), and dyspnea (20.9%). All of the cases had respiratory failure. Septic shock was 60.0% in case group and 15.5% in control group. Delayed diagnosis and treatment (ORadj 5.87 (95%CI: 2.53 - 13.62)), alcohol drinking behavior (ORadj 9.40 (95%CI: 2.73 - 32.34)) were found to have significant association with pneumonia as the leading cause of death among elderly patients. The problem of alcohol consumption and delayed diagnosis and treatment in elderly patients are presented in order to raise the concerned among physicians and health care workers to improve pneumonia case management.
Description
Public Health (Mahidol University 2019)
Degree Name
Master of Public Health
Degree Level
Master's degree
Degree Department
Faculty of Public Health
Degree Discipline
Public Health
Degree Grantor(s)
Mahidol University