Comparison of Severity Scoring Systems in Community-Acquired PneumoniaIbrahim Onur Alıcı1, Nermin Çapan2, Arzu Ertürk2, Sema Canbakan21Lung Transplant Center, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara
2Clinic of Chest Diseases, Atatürk Chest Diseases and Chest Surgery Training and Research Hospital, Ankara
Objective: The aim of this study was to compare the ability of CURB-65, pneumonia severity index and SMART-COP systems to predict 30-day mortality and the need for intensive respiratory and vasopressor support (IVRS).
Methods: We included 84 cases with community acquired pneumonia (CAP) and followed up for 30 days. The scores were calculated at admission and associated with the 30-day mortality and the need for intensive respiratory and vasopressor support.
Results: The mean age of patients was 58.6±18.7 years. The 30-day mortality level for CAP was 7.1%. Fourteen of 84 patients (16.7%) with CAP were followed in ICU. The area under curve (AUC) values of the three systems (CURB-65, PSI, and SMART-COP) for 30-day mortality were 0.89, 0.89 and 0.91, respectively, and for the need for IRVS was 0.88, 0.91 and 0.93, respectively.
Conclusion: The three systems accurately detected the need for IRVS and the 30-day mortality, but none individually demonstrated any advantage over the others. Keywords: Community-acquired pneumonia, intensive care mortality, severity scores
Ibrahim Onur Alıcı, Nermin Çapan, Arzu Ertürk, Sema Canbakan. Comparison of Severity Scoring Systems in Community-Acquired Pneumonia. Eurasian J Pulmonol. 2015; 17(1): 15-21
Corresponding Author: Ibrahim Onur Alıcı, Türkiye |
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