Han et al reported risk factors for hospital-acquired pneumonia in psychiatric inpatients. These can help to identify a patient who may need to be more closely monitored. The authors are from Renmin Hospital of Wuhan University.
Patient selection: psychiatric inpatient
Frequency in general: 1.15%
High risk groups:
(1) patients on closed wards
(2) patients with organic mental disorders or schizophrenia
Risk factors of hospital-acquired pneumonia:
(1) hypoproteinemia (? hypalbuminemia; ? hypogammaglobulinemia; OR 10.3)
(2) chronic liver disease (OR 4.3)
(3) previous psychiatric hospitalization within the past 6 months (180 days; OR 3.8)
(4) body mass index <= 18.5 kg per square meter (OR 1.9)
(5) therapy with mood stabilizers (OR 1.6)
(6) therapy with clozapine (OR 3.9)
(7) therapy with cholinesterase inhibitors (OR 1.7)
