Pneumonia severity index compared to CURB-65 in predicting the outcome of community acquired pneumonia among patients referred to an Iranian emergency department: a prospective survey

Alavi-Moghaddam, Mostafa; Bakhshi, Hooman; Rezaei, Bareza; Khashayar, Patricia

doi:10.1016/j.bjid.2012.10.012

Cited by 15 publications

(21 citation statements)

References 15 publications

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“…8 A Brazilian study by Alavi-Moghaddam M et al infers that CURB-65 showed a better predictive value in foreseeing both the need for ICU admission and mortality than PSI. 16 An Egyptian study by Eldaboosy SAM et all showed the ability to predict ICU admission was higher for SIPF score compared to PSI and CURB-65 and says SIPF is useful to predict mortality in CAP. 17 But neither of these studies had compared PSI, CURB 65 with IDSA/ATS Scoring system making our study more unique and our study shows that IDSA/ATS scoring system a better scoring system in Indian health care setting and can be used in Indian health care.…”

Section: Analysis Of Scoring Systemsmentioning

confidence: 99%

Comparative study of CURB-65, Pneumonia Severity Index and IDSA/ATS scoring systems in community acquired pneumonia in an Indian tertiary care setting

et al. 2017

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Background: Few comparative studies regarding prognostic scoring systems for community acquired pneumonia (CAP) are available from Indian context.Methods: Hospital-based prospective study to test the comparison between confusion, urea, respiratory rate, blood pressure, age over 65 years (CURB-65), Pneumonia severity index (PSI) and infectious diseases society of America/American thoracic society criteria (IDSA/ATS) scoring systems in patients with community acquired pneumonia.Results: CURB-65 class ≥III, PSI class ≥IV and patients who needed admission to intensive care unit (ICU) based on IDSA/ATS criteria were having sensitivity of 41.7%, 91.7% and 87.5% in predicting ICU admission with a specificity of 89.5%, 59.2% and 73.7% respectively. Their sensitivity in predicting death were 44.4%, 88.9% and 83.3% with a specificity of 87.8%, 54.9% and 68.3% respectively. In both PSI score and IDSA/ATS criteria risk scoring systems, mortality rate, need for ICU admission increased progressively with increasing scores but CURB-65 score did not show this correlation. The PSI class ≥IV was more sensitive in predicting ICU admission than CURB-65 and IDSA/ATS criteria.Conclusions: PSI was most sensitive in both predicting ICU admission and death whereas CURB-65 is most specific in predicting ICU admission and death. But CURB-65 is least sensitive in both predicting ICU admission and death. Even though IDSA/ATS criteria did not have highest sensitivity and specificity as single criteria it had modest sensitivity and specificity in predicting ICU admission and death.

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Section: Analysis Of Scoring Systemsmentioning

confidence: 99%

Comparative study of CURB-65, Pneumonia Severity Index and IDSA/ATS scoring systems in community acquired pneumonia in an Indian tertiary care setting

et al. 2017

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“…However, of 40 studies included in a systematic review of articles published between 1980 and 2009 [14], only one study was derived from a LMIC. Given the paucity of evidence, recent validation efforts in new settings are welcome [15]. The SWAT-Bp (male Sex, Wasting, non-Ambulatory, Temperature, Blood pressure) score was derived from an inpatient population in Malawi where CRB-65 performs less well than in Europe [5].…”

Section: Severity Scores For Community Acquired Pneumonia (Cap) Armentioning

confidence: 99%

Pneumonia severity scores in resource poor settings

Rylance

Waitt

2014

Pneumonia

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Clinical prognostc scores are increasingly used to streamline care in well-resourced setngs. The potental benefts of identfying patents at risk of clinical deterioraton and poor outcome, delivering appropriate higher level clinical care, and increasing efciency are clear. In this focused review, we examine the use and applicability of severity scores applied to patents with community acquired pneumonia in resource poor setngs. We challenge clinical researchers working in such systems to consider the generalisability of existng severity scores in their populatons, and where performance of scores is suboptmal, to promote eforts to develop and validate new tools for the beneft of patents and healthcare systems.

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“…Although these three scores perform equally well among patients with CAP to predict mortality, 10 CURB-65 is easier to implement in clinical practice. 11 In some studies CURB-65 score was not found as a good predictor of adverse outcome 12 or early mortality 13 in CAP. However, according to many other studies, patients with a higher CURB-65 score had a greater chance for in-hospital mortality 14 and 30-day mortality [15][16][17] because of pneumonia.…”

Section: Discussionmentioning

confidence: 96%

“…In addition to CURB‐65, the pneumonia severity index (PSI) is utilised to predict the prognosis of CAP. Although these three scores perform equally well among patients with CAP to predict mortality, CURB‐65 is easier to implement in clinical practice . In some studies CURB‐65 score was not found as a good predictor of adverse outcome or early mortality in CAP.…”

Section: Discussionmentioning

confidence: 99%

Poverty as an independent risk factor for in-hospital mortality in community-acquired pneumonia: A study in a developing country population

et al. 2018

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Pneumonia severity index compared to CURB-65 in predicting the outcome of community acquired pneumonia among patients referred to an Iranian emergency department: a prospective survey

Abstract: CURB-65 seems to be the preferred method to predict mortality and need for ICU admission in patients with community-acquired pneumonia. Despite their comparable specificity and sensitivity, CURB-65 is much easier to implement.

Cited by 15 publications

References 15 publications

Comparative study of CURB-65, Pneumonia Severity Index and IDSA/ATS scoring systems in community acquired pneumonia in an Indian tertiary care setting

Comparative study of CURB-65, Pneumonia Severity Index and IDSA/ATS scoring systems in community acquired pneumonia in an Indian tertiary care setting

Pneumonia severity scores in resource poor settings

Poverty as an independent risk factor for in-hospital mortality in community-acquired pneumonia: A study in a developing country population

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