Data/hora: 11/06/2024 03:33:58

Provedor de dados: | Brazilian Journal of Infectious Diseases
País: | Brazil
Título: | Pneumonia severity index compared to CURB-65 in predicting the outcome of community acquired pneumonia among patients referred to an Iranian emergency
Autores: | Alavi-Moghaddam,Mostafa; Bakhshi,Hooman; Rezaei,Bareza; Khashayar,Patricia.
Data: | 2013-04-01
Ano: | 2013
Palavras-chave: | CURB-65; PSI; Community-acquired pneumonia.
Resumo: | 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.
Tipo: | Info:eu-repo/semantics/article
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702013000200011
Editor: | Brazilian Society of Infectious Diseases
Relação: | 10.1016/j.bjid.2012.10.012
Formato: | text/html
Fonte: | Brazilian Journal of Infectious Diseases  v.17 n.2 2013
Fonte: | info:eu-repo/semantics/openAccess