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Date Published: 16/12/2024
Abstract Views: 24
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DOI: https://doi.org/10.51298/vmj.v545i1.12138
Issue
Vol. 545 No. 1 (2024)
Section
Các bài báo
How to Cite
Nguyễn, T. P., & Phan, V. N. (2024). COMPARISON OF PROGNOSTIC VALUE OF 30-DAY MORTALITY ACCORDING TO ATS/IDSA SEVERE PNEUMONIA SUB-CRITERIA, CURB-65, AND PSI IN PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA AT PHAM NGOC THACH HOSPITAL. Vietnam Medical Journal, 545(1). https://doi.org/10.51298/vmj.v545i1.12138

COMPARISON OF PROGNOSTIC VALUE OF 30-DAY MORTALITY ACCORDING TO ATS/IDSA SEVERE PNEUMONIA SUB-CRITERIA, CURB-65, AND PSI IN PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA AT PHAM NGOC THACH HOSPITAL

Thị Pháp Nguyễn, Vũ Nguyên Phan

Main Article Content

Abstract

Objectives: Comparison of prognostic value of 30-day mortality according to ATS/IDSA severe pneumonia sub-criteria, CURB-65, and PSI in patients with community-acquired pneumonia at Pham Ngoc Thach Hospital. Patients and methods: A prospective cohort study, combining retrospective medical record reviews, was conducted on patients diagnosed with community-acquired pneumonia at Pham Ngoc Thach Hospital from January to October 2022. Results: The study included 145 patients, with a male predominance at a ratio of approximately 2:1. The sensitivity of the ATS/IDSA sub-criteria was higher (92.9%) compared to both CURB-65 and PSI (both 87.5%). The specificity, positive predictive value, and negative predictive value of the ATS/IDSA and CURB-65 criteria were similar and higher compared to the PSI score. All three scoring systems demonstrated good prognostic ability (AUC > 0.8) for 30-day mortality in patients with community-acquired pneumonia, and this result was statistically significant (p < 0.05). Among them, the ATS/IDSA criteria showed the highest AUC value of 0.902, with statistical significance (p = 0.030). Conclusion: The minor ATS/IDSA criteria, CURB-65, and PSI have good prognostic ability for 30-day mortality in patients with community-acquired pneumonia. Among them, the ATS/IDSA criteria have superior prognostic value with an AUC of 0.902, sensitivity, specificity, and positive predictive value of 0.929, 0.938, and 0.591, respectively.

Article Details

Keywords

Community Acquired Pneumonia, ATS/IDSA, CURB-65, PSI

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