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The usefulness of confusion, urea, respiratory rate, and shock index or adjusted shock index criteria in predicting combined mortality and/or ICU admission compared to CURB-65 in community-acquired pneumonia.
Curtain, James P; Sankaran, Prasanna; Kamath, Ajay V; Myint, Phyo K.
Afiliação
  • Curtain JP; Addenbrooke's University Hospital, Cambridge, Cambridgeshire CB2 0QQ, UK ; School of Medicine & Dentistry, Division of Applied Health Sciences, C/o Room 4013, Polwarth Building, Foresterhill, Aberdeen AB25 2ZD, UK.
Biomed Res Int ; 2013: 590407, 2013.
Article em En | MEDLINE | ID: mdl-24024203
BACKGROUND AND OBJECTIVES: The study aims to assess the usefulness of age-independent criteria CURSI and temperature adjusted CURSI (CURASI) compared to CURB-65 in predicting community-acquired pneumonia (CAP) mortality. The criteria, CRSI and CRASI, were adapted for use in primary care and compared to CRB-65. METHODS: A retrospective analysis of a prospectively identified cohort of community-acquired pneumonia inpatients was conducted. Outcomes were (1) mortality and (2) mortality and/or ICU admission within six weeks. RESULTS: 95 patients (median age = 61 years) were included. All three criteria had similar sensitivity in predicting mortality alone, with CURB-65 having slightly higher specificity. When predicting mortality and/or intensive care admission, CURSI/CURASI showed higher sensitivity and slightly lower specificity. CRSI and CRASI had higher sensitivity and lower specificity when compared with CRB-65 for predicting both primary and secondary outcomes. Results for both analyses had P values >0.05. CONCLUSIONS: In a cohort of younger patients CURSI and adjusted CURSI perform at least as well as CURB-65, with a similar trend for CRSI and adjusted CRSI compared to CRB-65. Further studies are needed in different age groups and in primary and secondary care settings.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pneumonia / Infecções Comunitárias Adquiridas / Confusão / Taxa Respiratória Idioma: En Ano de publicação: 2013 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pneumonia / Infecções Comunitárias Adquiridas / Confusão / Taxa Respiratória Idioma: En Ano de publicação: 2013 Tipo de documento: Article