Modified A-DROP score and mortality in hemodialysis patients with pneumonia
| Autor: | Kazuaki Fujii, Makoto Harada, Tohru Ichikawa, Takeshi Masubuchi, Yukifumi Kurasawa, Mamoru Kobayashi |
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| Rok vydání: | 2017 |
| Předmět: |
Hemodialysis patients
Nephrology medicine.medical_specialty Poor prognosis Urology medicine.medical_treatment lcsh:RC870-923 Logistic regression 03 medical and health sciences 0302 clinical medicine Internal medicine Medicine 030212 general & internal medicine Transplantation Receiver operating characteristic business.industry Retrospective cohort study Pneumonia A-DROP score lcsh:Diseases of the genitourinary system. Urology medicine.disease Confidence interval 030228 respiratory system Hemodialysis business |
| Zdroj: | Renal Replacement Therapy, Vol 3, Iss 1, Pp 1-8 (2017) |
| ISSN: | 2059-1381 |
| DOI: | 10.1186/s41100-017-0120-0 |
| Popis: | Background Pneumonia is common in hemodialysis (HD) patients and has a poor prognosis, but there is little information on an accurate method for evaluating the severity of pneumonia, which is closely associated with prognosis, in HD patients. This study examined a method for evaluating the severity of pneumonia that was closely associated with 30-day mortality in HD patients. Methods This was a retrospective observational study of 64 HD patients. We determined the relationship between the severity of pneumonia using a modified A-DROP (excluding the dehydration section) score and 30-day mortality. Results Nine patients (14.1%) died and 40% of patients with an A-DROP score of 3 or 4 died within 30 days. Logistic regression analysis showed that the A-DROP score was significantly associated with 30-day mortality. The discriminatory ability of the A-DROP score was assessed using area under the receiver operating characteristic curve analysis (0.810; 95% confidence interval 0.653–0.967; p |
| Databáze: | OpenAIRE |
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