tailieunhanh - Báo cáo y học: " Application and comparison of scoring indices to predict outcomes in patients with healthcareassociated pneumonia"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Application and comparison of scoring indices to predict outcomes in patients with healthcareassociated pneumonia. | Fang et al. Critical Care 2011 15 R32 http content 15 1 R32 KS CRITICAL CARE RESEARCH Open Access Application and comparison of scoring indices to predict outcomes in patients with healthcare-associated pneumonia Wen-Feng Fang1 2t Kuang-Yao Yang3t Chieh-Liang Wu4 Chong-Jen Yu5 Chang-Wen Chen6 Chih-Yen Tu7 Meng-Chih Lin1 2 8 Abstract Introduction Healthcare-associated pneumonia HCAP is a relatively new category of pneumonia. It refers to infections that occur prior to hospital admission in patients with specific risk factors following contact or exposure to a healthcare environment. There is currently no scoring index to predict the outcomes of HCAP patients. We applied and compared different community acquired pneumonia CAP scoring indices to predict 30-day mortality and 3-day and 14-day intensive care unit ICU admission in patients with HCAP. Methods We conducted a retrospective cohort study based on an inpatient database from six medical centers recruiting a total of 444 patients with HCAP between 1 January 2007 and 31 December 2007. Pneumonia severity scoring indices including PSI pneumonia severity index CURB 65 confusion urea respiratory rate blood pressure age 65 IDSA ATS Infectious Diseases Society of America American Thoracic Society modified ATS rule SCAP severe community acquired pneumonia SMART-COP systolic blood pressure multilobar involvement albumin respiratory rate tachycardia confusion oxygenation pH SMRT-CO systolic blood pressure multilobar involvement respiratory rate tachycardia confusion oxygenation and SOAR systolic blood pressure oxygenation age respiratory rate were calculated for each patient. Patient characteristics co-morbidities pneumonia pathogen culture results length of hospital stay LOS and length of ICU stay were also recorded. Results PSI 90 has the highest sensitivity in predicting mortality followed by CURB-65 2 and SCAP 9 SCAP score area under the curve AUC PSI AUC and CURB-65 AUC . Compared to PSI .