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A Journal on Diseases of the Respiratory System
Official Journal of the Italian Society of Thoracic Endoscopy
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Minerva Pneumologica 2005 September;44(3):85-92
Predictive rules for prognosis in community-acquired pneumonia
Putinati S., Ballerin L., Zabini F., Piattella M., Ritrovato L., Simoni M., Potena A.
Aim. Community-acquired pneumonia (CAP) represents an important public burden. Pneumonia severity index (PSI), Confusion, Urea nitrogen, Respiratory rate, Blood pressure (CURB) and CURB-65 (CURB-age) scores are 3 validated prognostic rules for identifying the patients at low-risk for mortality, who might be treated at home (out-patients), thus reducing public costs. The aim of this study was to compare the performance of PSI, CURB, and CURB-65 for predicting thirty-day mortality, among hospitalized patients with CAP.
Methods. Three hundred and six patients (mean age 72 years, 52% males) have been classified into both PSI risk classes (I-V, low-risk
Conclusion. The results seem to indicate that CURB scores, for their higher specificity, along with their easier computation, might be more preferable than PSI scoring system for defining outpatients.