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Which Scoring Is Better for Outcome Prediction in Emergency Department Patients with Pneumonia?
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A5526 - Which Scoring Is Better for Outcome Prediction in Emergency Department Patients with Pneumonia?
Author Block: K. Murakami1, K. Tobino2, K. Yoshimine3; 1Respiratory Medicine, Iizuka hosipital, Iizuka, Japan, 2Respiratory Medicine, Iizuka Hospital, Iizuka, Japan, 3Respiratory Medicine, Iizuka Hospital, Iizuka City, Japan.
RATIONALE There are various pneumonia severity scores for common acquired pneumonia (CAP) and Nursing and healthcare associated pneumonia (NHCAP) such as Pneumonia Severity Index (PSI), CURB65, and A-DROP. Recently, quick sequential organ failure assessment (qSOFA) was developed to identify high-risk patients for in-hospital mortality with suspected infection outside the ICU, and the National Early Warning Score-Lactate (NEWS-L) score was also proposed as a pneumonia severity score. The aim of our study was to compare those scores. METHODS A retrospective analysis was performed in CAP and NHCAP patients admitted to our hospital through the emergency department between April 2016 and March 2017. We compared the in-hospital prognostic value of each scores using ROC analysis. RESULTS 247 patients were included (mean age, 77.4; males/female, 141/106) and the in-hospital morality was 11.3 % (28/247). There was no statistically significant difference among the AUCs of each score [PSI: 0.652, CURB65: 0.714, A-DROP: 0.708, qSOFA: 0.6, NEWS-L: 0.711]. CONCLUSION We could not find a significant difference in the in-hospital prognostic value between PSI, CURB65, A-DROP, qSOFA, and NEWS-L.
Author Block: K. Murakami1, K. Tobino2, K. Yoshimine3; 1Respiratory Medicine, Iizuka hosipital, Iizuka, Japan, 2Respiratory Medicine, Iizuka Hospital, Iizuka, Japan, 3Respiratory Medicine, Iizuka Hospital, Iizuka City, Japan.
RATIONALE There are various pneumonia severity scores for common acquired pneumonia (CAP) and Nursing and healthcare associated pneumonia (NHCAP) such as Pneumonia Severity Index (PSI), CURB65, and A-DROP. Recently, quick sequential organ failure assessment (qSOFA) was developed to identify high-risk patients for in-hospital mortality with suspected infection outside the ICU, and the National Early Warning Score-Lactate (NEWS-L) score was also proposed as a pneumonia severity score. The aim of our study was to compare those scores. METHODS A retrospective analysis was performed in CAP and NHCAP patients admitted to our hospital through the emergency department between April 2016 and March 2017. We compared the in-hospital prognostic value of each scores using ROC analysis. RESULTS 247 patients were included (mean age, 77.4; males/female, 141/106) and the in-hospital morality was 11.3 % (28/247). There was no statistically significant difference among the AUCs of each score [PSI: 0.652, CURB65: 0.714, A-DROP: 0.708, qSOFA: 0.6, NEWS-L: 0.711]. CONCLUSION We could not find a significant difference in the in-hospital prognostic value between PSI, CURB65, A-DROP, qSOFA, and NEWS-L.
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