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Editor's Correspondence | January 26, 2004

Do Findings of High Mortality From Pneumonia in the Elderly Make It the Old Man's Friend?—Reply

Renzo Rozzini, MD; Tony Sabatini, MD; Marco Trabucchi, MD

Arch Intern Med. 2004;164(2):225. doi:10.1001/archinte.164.2.225-b.

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We are grateful to van der Steen and colleagues for their observations on the important topic of pneumonia treatment in the elderly. As a contribution to the discussion, we would like to summarize the data obtained in our setting and to propose some comments on this matter.

As reported in our recent article in the ARCHIVES,¹ elderly patients hospitalized with pneumonia have a higher 6-month mortality rate compared with those affected by other noninfectious diseases;
Patients with pneumonia have a higher burden of somatic, biological, and psychological conditions;
While different conditions are associated with 6-month mortality, in adjusted analysis the association between pneumonia and 6-month mortality loses its statistical significance;
In end-stage demented patients affected by pneumonia, the 6-month mortality rate is dramatically increased, even if a sizable percentage (20%) remain alive.²

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Rozzini R, Sabatini T, Trabucchi M. Do Findings of High Mortality From Pneumonia in the Elderly Make It the Old Man's Friend?—Reply. Arch Intern Med. 2004;164(2):225. doi:10.1001/archinte.164.2.225-b.

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