Modified A-DROP score and mortality in hemodialysis patients with pneumonia
Abstract 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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-09-01
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| Series: | Renal Replacement Therapy |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s41100-017-0120-0 |
| _version_ | 1819076027936145408 |
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| author | Makoto Harada Takeshi Masubuchi Kazuaki Fujii Yukifumi Kurasawa Tohru Ichikawa Mamoru Kobayashi |
| author_facet | Makoto Harada Takeshi Masubuchi Kazuaki Fujii Yukifumi Kurasawa Tohru Ichikawa Mamoru Kobayashi |
| author_sort | Makoto Harada |
| collection | DOAJ |
| description | Abstract 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 < 0.01). Conclusions This modified A-DROP scoring system reflected the severity of pneumonia and was significantly associated with 30-day mortality. Patients with a modified A-DROP score of 3 or 4 had a poor prognosis. |
| first_indexed | 2024-12-21T18:34:47Z |
| format | Article |
| id | doaj.art-886de72aa0154f03b3daecf8812d2b4f |
| institution | Directory Open Access Journal |
| issn | 2059-1381 |
| language | English |
| last_indexed | 2024-12-21T18:34:47Z |
| publishDate | 2017-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Renal Replacement Therapy |
| spelling | doaj.art-886de72aa0154f03b3daecf8812d2b4f2022-12-21T18:54:11ZengBMCRenal Replacement Therapy2059-13812017-09-01311810.1186/s41100-017-0120-0Modified A-DROP score and mortality in hemodialysis patients with pneumoniaMakoto Harada0Takeshi Masubuchi1Kazuaki Fujii2Yukifumi Kurasawa3Tohru Ichikawa4Mamoru Kobayashi5Department of Nephrology, Nagano Red Cross HospitalDepartment of Infection and Host Defense, Nagano Red Cross HospitalDepartment of Nephrology, Nagano Red Cross HospitalDepartment of Nephrology, Nagano Red Cross HospitalDepartment of Nephrology, Nagano Red Cross HospitalDepartment of Nephrology, Nagano Red Cross HospitalAbstract 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 < 0.01). Conclusions This modified A-DROP scoring system reflected the severity of pneumonia and was significantly associated with 30-day mortality. Patients with a modified A-DROP score of 3 or 4 had a poor prognosis.http://link.springer.com/article/10.1186/s41100-017-0120-0PneumoniaHemodialysis patientsA-DROP score |
| spellingShingle | Makoto Harada Takeshi Masubuchi Kazuaki Fujii Yukifumi Kurasawa Tohru Ichikawa Mamoru Kobayashi Modified A-DROP score and mortality in hemodialysis patients with pneumonia Renal Replacement Therapy Pneumonia Hemodialysis patients A-DROP score |
| title | Modified A-DROP score and mortality in hemodialysis patients with pneumonia |
| title_full | Modified A-DROP score and mortality in hemodialysis patients with pneumonia |
| title_fullStr | Modified A-DROP score and mortality in hemodialysis patients with pneumonia |
| title_full_unstemmed | Modified A-DROP score and mortality in hemodialysis patients with pneumonia |
| title_short | Modified A-DROP score and mortality in hemodialysis patients with pneumonia |
| title_sort | modified a drop score and mortality in hemodialysis patients with pneumonia |
| topic | Pneumonia Hemodialysis patients A-DROP score |
| url | http://link.springer.com/article/10.1186/s41100-017-0120-0 |
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