Viral prevalence, clinical profiles and comparison of severity scores for predicting the mortality of adults with severe acute respiratory infections
| Autor: | Mehmet Kocak, Dogac Niyazi Ozucelik, Halil Dogan, Osman Gül, Hakan Aydın |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty 030204 cardiovascular system & hematology Severe acute respiratory infection severity scores influenza viruses Severity of Illness Index Article law.invention 03 medical and health sciences 0302 clinical medicine Severe acute respiratory infection law Predictive Value of Tests Internal medicine medicine Humans Prospective Studies Respiratory system Respiratory Tract Infections APACHE Aged Aged 80 and over 0303 health sciences Receiver operating characteristic APACHE II 030306 microbiology business.industry Mortality rate General Medicine Emergency department Middle Aged severity scores Intensive care unit Icu admission Intensive Care Units ROC Curve Virus Diseases Acute Disease Viruses Female business Emergency Service Hospital influenza viruses |
| Zdroj: | Turkish Journal of Medical Sciences Volume: 49, Issue: 3 860-871 |
| ISSN: | 1303-6165 1300-0144 |
| Popis: | Background/aim: The aim of this study was to determine the accuracy of severity scores for predicting the 28-day mortality among adults with severe acute respiratory infection (SARI) admitted to the emergency department.Materials andmethods: This study included 159 consecutive adult patients with SARI admitted to the emergency department of a tertiary hospital. A standard form was filled out in order to record demographic information, clinical parameters, laboratory tests, and radiographic findings of the patients. CURB-65, PSI, SIRS, qSOFA, SOFA and APACHE II scores were compared between the survivor and nonsurvivor groups. Results: Of 159 patients included in the study, 38.4% were positive for respiratory viruses and 28.3% were positive for influenza viruses. 35.8% of the patients were admitted to an intensive care unit (ICU) and the mortality rate was 36.5%. The area under the receiver operating characteristic curve of CURB-65, PSI, SIRS criteria, qSOFA, SOFA and APACHE II scores were 0.717, 0.712, 0.607, 0.683, 0.755, and 0.748, respectively in predicting mortality and 0.759, 0.744, 0.583, 0.728, 0.741, and 0.731, respectively in predicting ICU admission.Conclusion: SOFA and APACHE II were more accurate than SIRS in predicting the 28-day mortality among adults with SARI. There was no significant difference among these scores in terms of other multivariate comparisons. |
| Databáze: | OpenAIRE |
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