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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read with interest the article by Calle et al&#46;&#44; documenting the prognostic factors for mortality in very elderly patients with community-acquired pneumonia &#40;CAP&#41;&#46; The authors underline preserved functional capacity both before and at the time of hospitalization as factors improving 30-day mortality&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> This paper is of particular importance since it adds to the currently controversial body of evidence on the influence of functional dependence on the short-term progress of elderly patients admitted with CAP&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">With this in mind&#44; and in view of the great impact of this type of infection on this population&#44;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> geriatric assessment is becoming an accepted tool for assisting in the choice of empirical antibiotic and short-term risk stratification for decision-making&#44; and for designing the care plan for geriatric patients with CAP seen in the emergency department&#46; Indeed&#44; the clinical guidelines recently published by several scientific societies &#40;SEPAR&#44; SEMI&#44; SEMES&#44; SEGG&#44; SEQ and SEHAD&#41; on the management of CAP in the elderly include the need for frailty screening in all patients 65 years of age or more&#44; with the use of scales such as <span class="elsevierStyleItalic">Identification of Senior at Risk</span> &#40;ISAR&#41; or the <span class="elsevierStyleItalic">Triage Risk Screening Tool</span> &#40;TRST&#41;&#46; In patients identified as high-risk &#40;score &#8805;2&#41;&#44; a geriatric assessment adapted to the emergency situation is recommended&#46; Elderly patients could be classified using this strategy&#44; and be given a specific care plan tailored to their individual needs&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">To sum up&#44; we believe that geriatric assessment for the emergency department is a tool that complements the scales currently in use for predicting outcome on admission to the hospital &#40;PSI or CURB-65&#41; and&#47;or the intensive care unit &#40;SCAP&#44; SMART-COP or ATS&#47;IDSA&#41;&#46; It can provide valuable information for decisions on diagnostic procedures&#44; aggressive treatments&#44; and the need for hospital admission&#44; and for defining the most appropriate level of care&#46; As we see it&#44; this tool may be another instrument to be introduced for improving the quality of care of the elderly CAP patient in the emergency department&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interests&#46;</p></span></span>"
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                            0 => "A&#46; Calle"
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Letter to the Editor
Geriatric Assessment: A Key Tool in the Initial Management of the Elderly Patient with Community-Acquired Pneumonia
La valoración geriátrica es una herramienta clave en el manejo inicial del anciano con neumonía comunitaria
Francisco Javier Martín-Sáncheza,b,
Corresponding author
fjjms@hotmail.com

Corresponding author.
, Juan González del Castilloa,b
a Servicio de Urgencias, Hospital Clínico San Carlos, Madrid, Spain
b Instituto de Investigación Sanitaria, Hospital Clínico San Carlos, Madrid, Spain
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Mart&#237;n-S&#225;nchez FJ&#44; del Castillo JG&#46; La valoraci&#243;n geri&#225;trica es una herramienta clave en el manejo inicial del anciano con neumon&#237;a comunitaria&#46; Arch Bronconeumol&#46; 2015&#59;51&#58;523&#46;</p>"
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Article information
ISSN: 15792129
Original language: English
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