Pneumonia severity index compared to CURB-65 in predicting the outcome of community acquired pneumonia among patients referred to an Iranian emergency

Autor: Alavi-Moghaddam,Mostafa, Bakhshi,Hooman, Rezaei,Bareza, Khashayar,Patricia
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Brazilian Journal of Infectious Diseases, Vol 17, Iss 2, Pp 179-183 (2013)
Brazilian Journal of Infectious Diseases, Volume: 17, Issue: 2, Pages: 179-183, Published: APR 2013
Brazilian Journal of Infectious Diseases, Vol 17, Iss 2, Pp 179-183
Brazilian Journal of Infectious Diseases v.17 n.2 2013
Brazilian Journal of Infectious Diseases
Brazilian Society of Infectious Diseases (BSID)
instacron:BSID
ISSN: 1678-4391
1413-8670
Popis: OBJECTIVE: To compare the prognostic value of the pneumonia severity index and the severity score for community-acquired pneumonia (CURB-65) in predicting mortality and the need for ICU admission of patients with community-acquired pneumonia referred to our emergency department. MATERIALS AND METHODS: This prospective study was performed on patients with community-acquired pneumonia admitted to the emergency department of Imam Hossein Medical Center, Tehran, Iran. A questionnaire with demographic information, clinical signs and symptoms, laboratory and radiographic findings was completed for each patient. The information required for calculating the pneumonia severity index and CURB-65 were extracted from the medical records. The patients' clinical outcome was also recorded within a month after admission. RESULTS: We studied 200 patients with community-acquired pneumonia (122 men, 78 women). The sensitivity and specificity of CURB-65 in predicting mortality were 100% and 82.3%, respectively. As for pneumonia severity index, the rates were 100% and 75%, respec tively. The sensitivity and specificity rates of CURB-65 and pneumonia severity index in predicting mortality and need for ICU admission were 96.7% and 89.3%, and 90% and 78.7%, respectively. CONCLUSION: CURB-65 seems to be the preferred method to predict mortality and need for ICU admission in patients with community-acquired pneumonia. Despite their comparable specificity and sensitivity, CURB-65 is much easier to implement.
Databáze: OpenAIRE
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