A Prospective Observational Study to Evaluate the Severity Assessment Scores in Community-acquired Pneumonia for Adult Patients

Babu, Akhila; Jose, Nybin; Jose, Jona

doi:10.4103/ijrc.ijrc_16_17

Cited by 1 publication

(2 citation statements)

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“…When we assess the predictive ability of the CURB-65 score to predict mortality as an outcome, CURB-65 score had a sensitivity of 87.5%, specificity of 43.6%, PPV of 11.7% and NPV of 97.6%. These findings were similar to findings reported from studies in India and Iran 11,19 . In this study the interval of confidence is wider because of the small sample size which is one of the limitations of the study.…”

Section: Discussionsupporting

confidence: 92%

“…In this study, the mean age of patients was 57.3 which is similar to the findings reported by studies done in Asian countries 3 . CAP was more prevalent in the middle age and in the elderly which is consistent to the findings reported in studies in India, Spain and Europe [9][10][11] . The majority of participants were male patients in this study which is also consistent with global reports on sexbased differences in the prevalence and incidence of CAP 3,9,12 .…”

Section: Discussionsupporting

confidence: 91%

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Burden and outcome of community-acquired pneumonia in adult patients admitted to National Referral Hospital, Bhutan

Choki

Adhikari²,

Sonam³

et al. 2021

Bhutan Health Journal

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ABSTRACT Introduction: Community acquired pneumonia is one of the leading causes of morbidity and mortality globally with the highest burden being reported from Asia. In Bhutan, community acquired pneumonia was reported to be one of the top five causes of mortality and one of the top ten causes of morbidity. Methods: This was an observational study done in a cohort of adult patients with community acquired pneumonia who were admitted to National Referral Hospital of Bhutan from February 2020 – February 2021 using purposive sampling. The Research Ethics Board of Health, Bhutan, gave ethical approval. We evaluated the burden and outcome of the community acquired pneumonia, and assessed the predictive capability of CURB-65 score to predict mortality as an outcome in these patients. Results: The inpatient burden of community acquired pneumonia was found to be 4.7% among patients admitted to medical wards. The mortality was 7.8%. 15.7 % of patients were managed in the intensive care unit out of which 5.9% patients needed mechanical ventilation. The mean hospital length of stay of these patients was 13 days. The sensitivity, specificity, PPV and NPV of CURB-65 score to predict death as an outcome in these patients were 87.5%, 43.6%, 11.7% and 97.6% respectively. Conclusion: The inpatient burden of Community Acquired Pneumonia in the National Referral Hospital is of concern. The CURB-65 score can be used a supplement to clinical judgement to assess the severity of the disease and make appropriate management decisions.

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Section: Discussionsupporting

confidence: 92%