一个新的评分系统来预测社区获得性肺炎的死亡率:CURB (S) -65
S N Bahçecioğlu1, N Köktürk, A Baha
1Department of Immunology and Allergy, Atatürk Sanatoryum Training and Research Hospital, Ankara, Turkey. sakinenazik@gmail.com.
European review for medical and pharmacological sciences
|July 17, 2023
概括
将氧化参数添加到CURB-65中可以改善社区获得性肺炎死亡率的预测. 结合氧和度的CURBS-65得分,显示了比单独CURB-65更高的准确性.
科学领域:
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 社区获得性肺炎 (CAP) 需要早期风险分层来进行适当的患者管理.
- CURB-65评分是评估CAP严重性和预测死亡率的广泛使用的工具.
- 然而,通过结合客观的生理参数,可以提高它的预测准确性.
研究的目的:
- 评估添加氧化参数 (SaO2和PaO2) 到CURB-65得分的诊断价值,以预测CAP患者的死亡率.
- 为了比较标准CURB-65得分的性能与包括氧化数据的修改版 (CURBS-65和CURBP-65).
主要方法:
- 分析了903名CAP患者的队列.
- 患者根据CURB-65得分 (0-1和≥2) 将患者分为不同组.
- 包括CURB-65,肺炎严重性指数 (PSI),CURBS-65和CURBP-65在内的死亡率预测模型使用接收器操作特征 (ROC) 分析进行了比较.
主要成果:
- 低风险 (CURB-65分数0-1) 组的死亡率为3.3%,高风险 (CURB-65分数≥2) 组的死亡率为12.7%.
- 在CURB-65组中,较低的氧和 (SaO2 <90%) 与死亡率的增加显著相关.
- 在死亡率预测中,CURBS-65得分显示曲线下面积 (AUC) 与标准CURB-65得分相比略高.
结论:
- 与传统的CURB-65分数相比,CURBS-65分数系统,其中包括氧和度,似乎是一个更有效的工具来预测CAP中的死亡率.
- 整合氧化参数可以提高CAP管理中的风险分层的诊断价值.
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