By Florida Hospital Center for CREATION Health Research 2017 THE INFLUENCE OF THE CREATION HEALTH PRINCIPLE OF INTERPERSONAL RELATIONSHIPS ON PATIENTS WITH PNEUMONIA By Florida Hospital Center for CREATION Health Research 2017

INTERPERSONAL RELATIONSHIPS AND PHYSICAL HEALTH OUTCOMES

Interpersonal Relationships and Physical Health Outcomes: Health Status

“Predictors of Health Decline in Older Adults with Pneumonia: Findings from the Community Acquired Pneumonia Impact Study” By E. Fernandez, P. Krueger, and M. Loeb (2010) Researchers from McMaster University and University of Toronto studied 195 adults who were 60 years old or over with community-acquired pneumonia recruited from eight radiology clinics in Brant County, Ontario to explore the relationship between social support and self-rated health status. When measured by a questionnaire, having siblings was positively associated with decline in self-rated health status.

Interpersonal Relationships and Physical Health Outcomes: Hospital Length of Stay

“The Effect of Marital Status on the Presentation and Outcomes of Elderly Male Veterans Hospitalized for Pneumonia” By M.L. Metersky, M.J. Fine, and E.M. Mortensen (2012) Researchers from the University of Connecticut School of Medicine, the VA Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, VA North Texas Veterans Health Care System, and University of Texas Southwestern Medical Branch studied 48,635 male veterans who were 65 years old or over and hospitalized with pneumonia selected from a dataset from 150 VA hospitals and 850 VA outpatient clinics in the United States to investigate the relationship between marital status and in-hospital mortality, 90-day mortality, length-of-stay, rehospitalization, and treatment intensity. When measured by a questionnaire, being married was negatively associated with hospital length of stay, in-hospital mortality, and 90-day mortality. Married men had lower odds of requiring ICU admission, mechanical ventilation, and vasopressors.

Interpersonal Relationships and Physical Health Outcomes: ICU Admission

“The Effect of Marital Status on the Presentation and Outcomes of Elderly Male Veterans Hospitalized for Pneumonia” By M.L. Metersky, M.J. Fine, and E.M. Mortensen (2012) Researchers from the University of Connecticut School of Medicine, the VA Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, VA North Texas Veterans Health Care System, and University of Texas Southwestern Medical Branch studied 48,635 male veterans who were 65 years old or over and hospitalized with pneumonia selected from a dataset from 150 VA hospitals and 850 VA outpatient clinics in the United States to investigate the relationship between marital status and in-hospital mortality, 90-day mortality, length-of-stay, rehospitalization, and treatment intensity. When measured by a questionnaire, being married was negatively associated with hospital length of stay, in-hospital mortality, and 90-day mortality. Married men had lower odds of requiring ICU admission, mechanical ventilation, and vasopressors.

Interpersonal Relationships and Physical Health Outcomes: Hospital Readmission

“Predictors of Rehospitalization after Admission for Pneumonia in the Veterans Affairs Healthcare System” By V.L. Tang, E.A. Halm, M.J. Fine, C.S. Johnson, A. Anzueto, and E.M. Mortensen (2014) Researchers from the VA North Texas Health Care System, University of Texas Southwestern Medical Center, VA Center for Health Equity Research and Promotion, and South Texas Veterans Health Care System studied 45,134 veterans who were 65 years old or over and hospitalized with pneumonia selected from a dataset of 150 Veterans Affairs hospitals and 850 outpatient clinics in the United States to investigate the relationship between marital status and 30-day hospital readmissions. When measured by a questionnaire, being married was positively associated with lower odds of 30-day readmissions.

Interpersonal Relationships and Physical Health Outcomes: Mortality

“The Effect of Marital Status on the Presentation and Outcomes of Elderly Male Veterans Hospitalized for Pneumonia” By M.L. Metersky, M.J. Fine, and E.M. Mortensen (2012) Researchers from the University of Connecticut School of Medicine, the VA Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, VA North Texas Veterans Health Care System, and University of Texas Southwestern Medical Branch studied 48,635 male veterans who were 65 years old or over and hospitalized with pneumonia selected from a dataset from 150 VA hospitals and 850 VA outpatient clinics in the United States to investigate the relationship between marital status and in-hospital mortality, 90-day mortality, length-of-stay, rehospitalization, and treatment intensity. When measured by a questionnaire, being married was negatively associated with hospital length of stay, in-hospital mortality, and 90-day mortality. Married men had lower odds of requiring ICU admission, mechanical ventilation, and vasopressors.

References Fernandez E, Krueger P, Loeb M. Predictors of health decline in older adults with pneumonia: findings from the Community Acquired Pneumonia Impact Study. BMC Geriatr. 2010;10:1. Metersky ML, Fine MJ, Mortensen EM. The effect of marital status on the presentation and outcomes of elderly male veterans hospitalized for pneumonia. Chest. 2012;142(4):982-987. Tang VL, Halm EA, Fine MJ, Johnson CS, Anzueto A, Mortensen EM. Predictors of rehospitalization after admission for pneumonia in the veterans affairs healthcare system. J Hosp Med. 2014;9(6):379-383.