A new scoring system to predict mortality in community-acquired pneumonia: CURB (S)-65

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dc.contributor.authorBahçecioglu, SN
dc.contributor.authorKöktürk, N
dc.contributor.authorBaha, A
dc.contributor.authorYapar, D
dc.contributor.authorAksakal, FNB
dc.contributor.authorGunduz, C
dc.contributor.authorTasbakan, S
dc.contributor.authorSayiner, A
dc.contributor.authorCoskun, AS
dc.contributor.authorYaman, F
dc.contributor.authorÇilli, A
dc.contributor.authorCelenk, B
dc.contributor.authorKilinç, O
dc.contributor.authorMersin, SS
dc.contributor.authorHazar, A
dc.contributor.authorTokgoz, F
dc.date.accessioned2024-07-18T12:07:46Z
dc.date.available2024-07-18T12:07:46Z
dc.description.abstractOBJECTIVE: The first decision to be made in the case of community-acquired pneumonia (CAP) is whether hospitalization of the patient is mandatory. In this study, we aimed to investigate whether the addition of oxygenation parameters to CURB-65 has diagnostic value in predicting mortality in CAP. PATIENTS AND METHODS: A total of 903 CAP patients were included in the study. Patients with a CURB-65 score of 0 and 1 were classified as Group 1 and patients with a CURB-65 score of 2 or more were classified as Group 2. The prediction of mortality through Pneumonia Severity Index (PSI), CURB-65 and CURBS-65/CURBP- 65 with the addition of SaO(2) and PaO2 values; hence the four different models, was compared among all patient groups. RESULTS: As a result, 3.3% of the cases in Group 1 and 12.7% of the cases in Group 2 died. In both CURB-65 groups, it was noted that the frequency of patients with SaO(2) <90% was significantly higher in the dead group than in the alive patient group (p= 0.009 and p= 0.001, respectively). In the univariate analysis, PaO2<60, and SaO(2)<90 were significantly associated with mortality. Model 2 (CURBS-65) and Model 3 (CURBP-65) were examined, SaO(2)< 90 (OR 2.08) was found to have an effect on death. In predicting mortality by the receiver operating characteristics (ROC) analysis, it was understood that the CURBS-65 score had a slightly higher area under the curve (AUC) value than CURB-65. CONCLUSIONS: As a result, it has been shown that the use of CURBS-65 scoring instead of CURB-65 clinical scoring may be more useful in predicting mortality.
dc.identifier.issn1128-3602
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/10633
dc.language.isoEnglish
dc.publisherVERDUCI PUBLISHER
dc.subjectSEVERITY
dc.subjectVALIDATION
dc.subjectGUIDELINES
dc.subjectMANAGEMENT
dc.subjectINDEX
dc.subjectRULE
dc.titleA new scoring system to predict mortality in community-acquired pneumonia: CURB (S)-65
dc.typeArticle

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