Correspondence between hospital admission and the pneumonia severity index (PSI), CURB-65 criteria and comparison of their predictive value in mortality and hospital stay
Correspondence between hospital admission and the pneumonia severity index (PSI), CURB-65 criteria and comparison of their predictive value in mortality and hospital stay
نویسندگان: ژینوس بیات ماکو , مجتبی ورشوچی فرد
کلمات کلیدی: Keywords: community-acquired pneumonia
(CAP), pneumonia severity index (PSI), CURB-
65.
نشریه: 22800 , 2 , 21 , 2013
| نویسنده ثبت کننده مقاله |
ژینوس بیات ماکو |
| مرحله جاری مقاله |
تایید نهایی |
| دانشکده/مرکز مربوطه |
بیماری های عفونی و گرمسیری |
| کد مقاله |
58142 |
| عنوان فارسی مقاله |
Correspondence between hospital admission and the pneumonia severity index (PSI), CURB-65 criteria and comparison of their predictive value in mortality and hospital stay |
| عنوان لاتین مقاله |
Correspondence between hospital admission and the pneumonia severity index (PSI), CURB-65 criteria and comparison of their predictive value in mortality and hospital stay |
| ناشر |
4 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ |
بلی |
| عنوان نشریه (خارج از لیست فوق) |
|
| نوع مقاله |
Original Article |
| نحوه ایندکس شدن مقاله |
ایندکس شده سطح دو – PubMed |
| آدرس لینک مقاله/ همایش در شبکه اینترنت |
http://www.infezmed.it/Indice.aspx |
| Pneumonia severity assessment systems, such as
the pneumonia severity index (PSI) and CURB-65,
were designed to guide physicians to admit the patients
involved to appropriate wards of hospitals.
This study evaluated concordance rate of decisions
leading to patients’ hospitalization in accordance
with PSI and CURB-65 criteria and comparison of
the two systems’ P-values in evaluating mortality
and the hospitalization period of the patients in
question.
A total of 134 hospitalized patients with community-
acquired pneumonia (CAP) were evaluated. Patients
were classified on the basis of risk factors implicated
in the PSI and CURB-65 systems. Prognostic
P-values and indication measures of hospitalization
for the two systems were then compared.
Eighty-seven males (64.9%) and 47 females
(35.1%) with a mean age of 64.23±19.82 (15-103)
years were enrolled in the study. Based on the results
of both systems, hospitalization was indicated
in 112 cases (83.6%) and there was total agreement
between the two systems in 61 cases (45.5%).
There was no significant association between hospitalization
duration in the two systems. However,
both systems significantly predicted mortality
within the hospitalization period with rather equal
accuracies. Patients expired more frequently in the
group with indication of hospitalization based on
the PSI classes. However, there was no significant
difference in the mortality between the two groups
with and without admission indication according
to the CURB-65 system.
A considerable portion of our hospitalizations met
the related criteria of the PSI/CURB-65. The two
evaluation systems have near equal sensitivity and
specificity for predicting mortality among hospitalized
patients with CAP when the PSI class ≥IV
and CURB-65 score ≥2. |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| Correspondence between hospital admission and the pneumonia severity index (PSI),.pdf | 1395/03/30 | 120926 | دانلود |