Hospital mortality of community respiratory infections and associated with long-term care facilities: a systematic review

Abstract

Background: Respiratory infections are a cause of socio-health concern due to their high mortality and the economic cost. The number of patients from social care centers with respiratory infections requiring hospital admission is increasing in recent decades. The particularities of these patients could influence the evolution of these infections. Aim: To analyze if there are differences respect to mortality between respiratory infections of community origin and those associated with social care centers. Methods: A systematic review was carried out in three databases: Medline, Web of Science and Scopus. Empirical studies, published between 2000 and 2016, were included. Results: The origin of the patients, age and malnutrition were the factors associated with worse prognosis, together with the presence of cardiac or neurological comorbidity. Mortality was higher in patients from social care centers compared to those who came from their home. Conclusion: Health professionals should take into account the origin of the patients in order to give a more personalized care according to the particularities of these patients.