Community-acquired pneumonia: comparison of three mortality prediction scores in the emergency department,Neumonía adquirida en la comunidad: comparación de tres puntuaciones de predicción de mortalidad en el servicio de urgencias: comparación de tres puntuaciones de predicción de mortalidad en el servicio de urgencias

Carolina Hincapié, Johana Ascuntar, Alba León, Fabián Jaimes*

*Bijbehorende auteur voor dit werk

OnderzoeksoutputAcademicpeer review

1 Citaat (Scopus)
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Samenvatting

Background: qSOFA is a score to identify patients with suspected infection and risk of complications. Its criteria are like those evaluated in prognostic scores for pneumonia (CRB-65-CURB-65), but it is not clear which is best for predicting mortality and admission to the ICU.

Objective: Compare three scores (CURB-65, CRB-65 and qSOFA) to determine the best tool to identify emergency department patients with pneumonia at increased risk of mortality or intensive care unit (ICU) admission.

Methods: Secondary analysis of three prospective cohorts of patients hospitalized with diagnosis of pneumonia in five Colombian hospitals. Validation and comparison of the score´s accuracies were performed by means of discrimination and calibration measures.

Results: Cohorts 1, 2 and 3 included 158, 745 and 207 patients, with mortality rates of 32.3%, 17.2% and 18.4%, and admission to ICU was required for 52.5%, 43.5% and 25.6%, respectively. The best AUC-ROC for mortality was for CURB-65 in cohort 3 (AUC-ROC=0.67). The calibration was adequate (p>0.05) for the three scores.

Conclusions: None of these scores proved to be an appropriate predictor for mortality and admission to the ICU. Furthermore, the CRB 65 exhibited the lowest discriminative ability.

Vertaalde titel van de bijdrageCommunity-acquired pneumonia: comparison of three mortality prediction scores in the emergency department
Originele taal-2Spanish
Artikelnummere2044287
Aantal pagina's16
TijdschriftColombia Medica
Volume52
Nummer van het tijdschrift4
DOI's
StatusPublished - 2021
Extern gepubliceerdJa

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