Weight of the CURB-65 Criteria for Community-Acquired Pneumonia in a Very Low-Mortality-Rate Setting
| العنوان: | Weight of the CURB-65 Criteria for Community-Acquired Pneumonia in a Very Low-Mortality-Rate Setting |
|---|---|
| المؤلفون: | Hai-yan Li, Mei Jiang, Qing-zhou Zhao, Xia Chen, Hui Liu, Hong-lin Peng, Ming Li, Yi-ping Zhou, Li-hua Liang, Nian Liu, Hai-qiong Yu, Qi Guo, Xiao-ke Chen |
| المصدر: | Internal Medicine. 51:2521-2527 |
| بيانات النشر: | Japanese Society of Internal Medicine, 2012. |
| سنة النشر: | 2012 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Length of hospitalization, Severity of Illness Index, Community-acquired pneumonia, Internal medicine, Internal Medicine, medicine, Humans, Hospital Mortality, Confusion, Aged, Retrospective Studies, Rank correlation, Inpatients, business.industry, Incidence, Mortality rate, Age Factors, Health Care Costs, Pneumonia, General Medicine, Odds ratio, Length of Stay, Middle Aged, medicine.disease, CURB-65, Community-Acquired Infections, Survival Rate, Blood pressure, Physical therapy, Female, business |
| الوصف: | The CURB-65 score is a simple well validated tool for the assessment of severity in community-acquired pneumonia (CAP). The weight of each criterion in very low-mortality-rate settings is unclear. The purpose of this study was to determine the weight in such setting.This study retrospectively reviewed 1,230 adult patients admitted for CAP from 2005 to 2009.The 30-day mortality rose sharply from 0%, 1.0%, 8.2% and 16.7%, respectively, for patients with CURB-65 scores of 0, 1, 2 and 3 to 100.0% for patients with the scores of 4 (x(2) = 219.494, p0.001). Confusion had the strongest association with mortality (odds ratio, 22.148). The presence of low blood pressure was not associated with mortality. Confusion, urea7 mmol.L(-1) and age ≥ 65 yrs showed independent relationships with mortality (Odds ratio, 11.537, 5.988 and 10.462; respectively). Urea7 mmol.L(-1) was most strongly associated with the sequential organ failure assessment (SOFA) scores [rank correlation coefficient (r(s)), 0.352]. Confusion had the closest relationship with hospital length of stay (r(s), 0.114). Age ≥ 65 yrs had the strongest association with costs (r(s), 0.223). Conclusion The individual CURB-65 criteria were of unequal weight for predicting the 30-day mortality, SOFA scores, hospital length of stay and costs in a very low-mortality-rate setting, and a low blood pressure was not associated with mortality. |
| تدمد: | 1349-7235 0918-2918 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a9e4717721b788eeb8676c18f70e18aaTest https://doi.org/10.2169/internalmedicine.51.8159Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....a9e4717721b788eeb8676c18f70e18aa |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13497235 09182918 |
|---|