Admission Decisions and Outcomes of Community-Acquired Pneumonia in the Homeless Population

A Review of 172 Patients in an Urban Setting

Bibliographic Data

ID14600652
AuthorsBarbara Jones (0000-0003-2717-6076, Barbara Jones, Samuel M. Brown, and Nathan C. Dean are with the Divisions of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City. Adi V. Gundlapalli is with the Division of Epidemiology, University of Utah, and the Department of Veterans Affairs, Salt Lake City. Samuel M. Brown and Nathan C. Dean are also with Intermountain Medical Center, Murray, UT. Jason P. Jones is with Kaiser Permanente, Pasadena, CA, and Intermountain Medical Center, Murray.), Adi V Gundlapalli (0000-0002-7423-7903, Barbara Jones, Samuel M. Brown, and Nathan C. Dean are with the Divisions of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City. Adi V. Gundlapalli is with the Division of Epidemiology, University of Utah, and the Department of Veterans Affairs, Salt Lake City. Samuel M. Brown and Nathan C. Dean are also with Intermountain Medical Center, Murray, UT. Jason P. Jones is with Kaiser Permanente, Pasadena, CA, and Intermountain Medical Center, Murray.), Jason P Jones (0000-0001-6563-8185, Barbara Jones, Samuel M. Brown, and Nathan C. Dean are with the Divisions of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City. Adi V. Gundlapalli is with the Division of Epidemiology, University of Utah, and the Department of Veterans Affairs, Salt Lake City. Samuel M. Brown and Nathan C. Dean are also with Intermountain Medical Center, Murray, UT. Jason P. Jones is with Kaiser Permanente, Pasadena, CA, and Intermountain Medical Center, Murray.), Samuel M Brown (0000-0003-1206-6261, Barbara Jones, Samuel M. Brown, and Nathan C. Dean are with the Divisions of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City. Adi V. Gundlapalli is with the Division of Epidemiology, University of Utah, and the Department of Veterans Affairs, Salt Lake City. Samuel M. Brown and Nathan C. Dean are also with Intermountain Medical Center, Murray, UT. Jason P. Jones is with Kaiser Permanente, Pasadena, CA, and Intermountain Medical Center, Murray.), Nathan C Dean (0000-0002-1996-0533, Barbara Jones, Samuel M. Brown, and Nathan C. Dean are with the Divisions of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City. Adi V. Gundlapalli is with the Division of Epidemiology, University of Utah, and the Department of Veterans Affairs, Salt Lake City. Samuel M. Brown and Nathan C. Dean are also with Intermountain Medical Center, Murray, UT. Jason P. Jones is with Kaiser Permanente, Pasadena, CA, and Intermountain Medical Center, Murray.)
Year2013
Volume103
IssueS2
PagesS289-S293
Publication date2013-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2013.301342
PMID24148050
PMCIDPMC3966666
OpenAlexW2111475072
LanguageEN
Citations received2
References cited12

Objectives. We compared admission rates, outcomes, and performance of the CURB-65 mortality prediction score of homeless patients and nonhomeless patients with community-acquired pneumonia (CAP). Methods. We compared homeless (n = 172) and nonhomeless (n = 1897) patients presenting to a Salt Lake City, Utah, emergency department with CAP from 1996 to 2006. In the homeless cohort, we measured referral from and follow-up with the local homeless health care clinic and arrangement of medical housing. Results. Homeless patients were younger (44 vs 59 years; P Conclusions. A large cohort of homeless patients with CAP demonstrated higher hospitalization risk than but similar length of stay and costs as nonhomeless patients. The strong relationship between the hospital and homeless health care clinic may have contributed to this finding

Cohort · Confidence interval · Emergency department · Environmental health · Family medicine · Health care · Odds ratio · Outpatient clinic · Pneumonia · Population · Psychiatry · Referral · Emergency and Acute Care Studies · Emergency Medicine · Food Security and Health in Diverse Populations · Homelessness and Social Issues · Internal Medicine · Medicine

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