Establishing and Implementing Pneumonia Diagnosis in ED Older Adults: A Mixed Methods Approach
Ohio State University
Summary
Create a clinical diagnostic pathway for older ED adults with pneumonia and its subgroups (bacterial, viral, and co-infection) and determine whether novel biomarkers improve diagnostic accuracy. The investigators will conduct a prospective observational trial of 250 ED patients ≥65 years old with suspected pneumonia. The investigators will perform analyses overall and by subgroups, seeking common models to ease adoption.
Eligibility
- Age range
- 65+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: \- Adults aged 65 and older presenting to the ED with suspected pneumonia defined as (1) either a physician order for CXR OR CT OR a chief complaint consistent with dyspnea; AND (2) physician suspicion of pneumonia prior to ED testing (score of 2-5 on Likert scale) Exclusion Criteria: * inability to obtain consent from the patient or an LAR * active cancer * organ transplant * immunosuppression * trauma activation * suicidal ideation * incarceration * antibiotics in the last 14 days * a separate episode of lower respiratory illness in the last 30 days
Location
- The Ohio State UniversityColumbus, Ohio