Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
To the Editor.— In the study by Dr Meehan
and colleagues1 that examined the outcome
of approximately 14000 elderly patients hospitalized for pneumonia, 23.4%
of patients were referred by a skilled nursing facility or intermediate care
facility. In previous studies, the mortality rate from pneumonia was greater
in institutionalized patients as compared with those living in the community.2 This poorer prognosis might be related to patients'
frailty, associated illnesses, and pathogens responsible for pneumonia.
Belmin J, Medjahed S. Quality of Care for Elderly Patients With Pneumonia. JAMA. 1998;279(24):1950-1952. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-24-jac80011