Predicting the 28-day mortality rate in elderly patients with community acquired pneumonia: Evaluation of 11 risk prediction scores; [Toplum kökenli pnömonili yaşli hastalarda 28 günlük mortalite oraninin öngörülmesi: 11 risk tahmin skorunun değerlendirmesi]
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2017
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Abstract
Introduction: Community-acquired pneumonia frequently causes infectious diseaserelated morbidity and mortality among patients. Elderly patients are at a higher risk of developing severe Community-acquired pneumonia due to underlying diseases and changes in health status. We evaluated the performance of existing risk scores for predicting the 28-day mortality rate in elderly patients presenting with Community-acquired pneumonia to Emergency Department. Materials and Method: We evaluated 151 elderly patients [mean age, 76.6±7.8 years (range, 65-94 years); 65.6% men] with Community-acquired pneumonia. There were 30 deaths by day 28, with an all-cause mortality rate of 19.9%. All scores, except the CAP-PIRO, achieved an area under the receiver operating characteristic curve >0.700. Z-test was used to determine significant differences between the scores. Results: We evaluated 151 elderly patients [mean age, 76.6±7.8 years (range, 65-94 years); 65.6% men] with Community-acquired pneumonia. There were 30 deaths by day 28, with an all-cause mortality rate of 19.9%. All scores, except the CAP-PIRO, achieved an area under the receiver operating characteristic curve >0.700. Z-test was used to determine significant differences between the scores. Conclusion: Of the existing scores, 4 had good discriminatory power to predict the 28-day mortality rate. The best discrimination was demonstrated by CURB-age, a score designed for elderly patients with Community-acquired pneumonia. Additional research is necessary to determine the best risk score for predicting early mortality rates in elderly patients with Community-acquired pneumonia. © 2017, Geriatrics Society. All rights reserved.
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ADROP score , aged , all cause mortality , Article , CAP PIRO score , clinical evaluation , community acquired pneumonia , CORB 75 score , CRB 65 score , cross-sectional study , CURB 65 score , CURB age score , CURXO 80 score , disease severity , emergency patient , emergency ward , female , geriatric patient , human , IDSA ATS score , intermethod comparison , major clinical study , male , mortality rate , mortality risk , Pneumonia Severity Index , predictive value , prognosis , prognostic assessment , retrospective study , risk assessment , sensitivity and specificity , Severe Community Acquired Pneumonia score , SMART COP score , survivor