Elbi H.Bilge A.Dayangaç H.İ.Dikmen O.2024-07-222024-07-22201713042947http://akademikarsiv.cbu.edu.tr:4000/handle/123456789/15516Introduction: 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.EnglishADROP scoreagedall cause mortalityArticleCAP PIRO scoreclinical evaluationcommunity acquired pneumoniaCORB 75 scoreCRB 65 scorecross-sectional studyCURB 65 scoreCURB age scoreCURXO 80 scoredisease severityemergency patientemergency wardfemalegeriatric patienthumanIDSA ATS scoreintermethod comparisonmajor clinical studymalemortality ratemortality riskPneumonia Severity Indexpredictive valueprognosisprognostic assessmentretrospective studyrisk assessmentsensitivity and specificitySevere Community Acquired Pneumonia scoreSMART COP scoresurvivorArticle