Performance of the CORB (Confusion, Oxygenation, Respiratory Rate, and Blood Pressure) Scale for the Prediction of Clinical Outcomes in Pneumonia

Autor: Luis F. Reyes, Alirio R. Bastidas, Eduardo Tuta Quintero, Juan S. Frías, Álvaro F. Aguilar, Karen D. Pedreros, Manuela Herrera, Laura D. Saza, Alejandra P. Nonzoque, Laura E. Bello, Maria D. Hernández, Germán A. Carmona, Anyelinne Jaimes, Silvia M Ramírez, Natalia Murillo
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Canadian Respiratory Journal, Vol 2022 (2022)
Druh dokumentu: article
ISSN: 1916-7245
DOI: 10.1155/2022/4493777
Popis: Background. Community-acquired pneumonia (CAP) is a common cause of morbidity and mortality due to misdiagnosis and inappropriate treatment approaches. Objective. To assess the performance of the CORB score in subjects with CAP for predicting in-hospital mortality, death within 30 days of admission, and requirement for invasive mechanical ventilation (IMV) and vasopressor support. Methods. A retrospective, cohort study with diagnostic test analysis of CORB and CURB-65 scores in subjects with CAP according to ATS criteria was undertaken. An alternative CORB score was estimated by replacing SpO2 ≤90% by the SpO2/FiO2 ratio. Crude and adjusted odd ratios (AOR) were calculated for each variable. The area under the receiver operating characteristics curve (AUROC) was constructed for each score, and outcomes were analyzed. AUROCs were compared with the DeLong test, considering a p value
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