Pneumonia severity index compared to CURB-65 in predicting the outcome of community acquired pneumonia among patients referred to an Iranian emergency
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 METHOD...
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| Format: | Article |
| Language: | English |
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Elsevier
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| Series: | Brazilian Journal of Infectious Diseases |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702013000200011&lng=en&tlng=en |
| _version_ | 1828822275938320384 |
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| author | Mostafa Alavi-Moghaddam Hooman Bakhshi Bareza Rezaei Patricia Khashayar |
| author_facet | Mostafa Alavi-Moghaddam Hooman Bakhshi Bareza Rezaei Patricia Khashayar |
| author_sort | Mostafa Alavi-Moghaddam |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T13:12:07Z |
| format | Article |
| id | doaj.art-6023dc8a2aa44981ae99bea4d92e7a2c |
| institution | Directory Open Access Journal |
| issn | 1678-4391 |
| language | English |
| last_indexed | 2024-12-12T13:12:07Z |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Infectious Diseases |
| spelling | doaj.art-6023dc8a2aa44981ae99bea4d92e7a2c2022-12-22T00:23:31ZengElsevierBrazilian Journal of Infectious Diseases1678-439117217918310.1016/j.bjid.2012.10.012S1413-86702013000200011Pneumonia severity index compared to CURB-65 in predicting the outcome of community acquired pneumonia among patients referred to an Iranian emergencyMostafa Alavi-Moghaddam0Hooman Bakhshi1Bareza Rezaei2Patricia Khashayar3Shahid Beheshti UniversityShahid Beheshti UniversityShahid Beheshti UniversityTehran University of Medical SciencesOBJECTIVE: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702013000200011&lng=en&tlng=enCURB-65PSICommunity-acquired pneumonia |
| spellingShingle | Mostafa Alavi-Moghaddam Hooman Bakhshi Bareza Rezaei Patricia Khashayar Pneumonia severity index compared to CURB-65 in predicting the outcome of community acquired pneumonia among patients referred to an Iranian emergency Brazilian Journal of Infectious Diseases CURB-65 PSI Community-acquired pneumonia |
| title | Pneumonia severity index compared to CURB-65 in predicting the outcome of community acquired pneumonia among patients referred to an Iranian emergency |
| title_full | Pneumonia severity index compared to CURB-65 in predicting the outcome of community acquired pneumonia among patients referred to an Iranian emergency |
| title_fullStr | Pneumonia severity index compared to CURB-65 in predicting the outcome of community acquired pneumonia among patients referred to an Iranian emergency |
| title_full_unstemmed | Pneumonia severity index compared to CURB-65 in predicting the outcome of community acquired pneumonia among patients referred to an Iranian emergency |
| title_short | Pneumonia severity index compared to CURB-65 in predicting the outcome of community acquired pneumonia among patients referred to an Iranian emergency |
| title_sort | pneumonia severity index compared to curb 65 in predicting the outcome of community acquired pneumonia among patients referred to an iranian emergency |
| topic | CURB-65 PSI Community-acquired pneumonia |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702013000200011&lng=en&tlng=en |
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