Accuracy Between CURB-65 Score and PSI in Determining The Prognosis of Community-Acquired Pneumonia Patients at H. Adam Malik General Hospital, Medan

Abstract

Background: Community-Acquired Pneumonia (CAP) is an important problem associated with morbidity and mortality. An accurate initial assessment is required before starting management of a CAP patient to determine the prognosis of the patient as early as possible. The CURB-65 score and PSI (Pneumonia Severity Index) are initial assessment scores that can be used. This study aimed to compare the accuracy between the CURB-65 score and the PSI in determining the prognosis in CAP patients at H. Adam Malik General Hospital Medan. Method: A descriptive study was conducted on 76 patients diagnosed with CAP. Each patient was assessed for their CURB-65 score, PSI class and mortality within 30 days of admission. Data were collected through patient medical records diagnosed CAP in 2018 and performed statistical analysis using 2x2 tables. Results: The CURB-65 ≥3 score showed accuracy (71.0%), sensitivity (53.8%), and specificity (89,2%). The CURB-65 ≥ 2 score showed accuracy (75.0%), sensitivity (82.1%), and specificity (67.6%). Meanwhile, the Class IV-V PSI showed accuracy (77.6%), sensitivity (87.2%) and specificity (67.6%). Conclusion: The accuracy of the PSI is higher when compared to the CURB-65 score in determining the prognosis of CAP patients at H. Adam Malik General Hospital Medan. Although PSI is more accurate, CURB-65 is simpler, easier and less expensive to use

Pengenalan Awal Pneumonia Komunitas Resiko Tinggi yang Berkembang menjadi Sepsis pada Pasien Geratri Renta: Sebuah Laporan Kasus

“…Hasil dari kedua sistem skoring tersebut dapat membantu memutuskan apakah pasien hanya memerlukan perawatan jalan atau membutuhkan rawat inap hingga perawatan intensif. 12 Pada pasien kami, hasil skor CURB-65 dan PSI mengindikasikan pasien dapat memperoleh perawatan jalan atau rawat inap, namun lebih disarankan untuk perawatan di rumah sakit. Selain memperhatikan skor tersebut, Tim IGD memperhatikan satu parameter lab lain yaitu NLR.…”

Clinical significance of serum S100 calcium-binding protein A12 concentrations in patients with community-acquired pneumonia

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Platelet Count as a Predictor for Community-Acquired Pneumonia Severity Using PSI Score

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