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COMPARE THE PERFORMANCE OF SEVERAL SCALES IN PREDICITNG ICU ADMISSION AMONG PATIENTS DIAGNOSED WITH COMMUNITY-ACQUIRED PNEUMONIA (CAP)
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Abstract
Objective: To compare the prognostic performance of the NEWS, NEWS-L (NEWS combined with serum lactate), CURB-65, PSI, and SMART-COP scoring systems in predicting ICU admission among patients with community-acquired pneumonia (CAP) visiting to the Emergency Department. Methods: A retrospective cross-sectional study was conducted at the Emergency Department of 108 Military Central Hospital from 2021 to 2022 on 350 adult patients diagnosed with community-acquired pneumonia (CAP) who were indicated for hospital admission. Clinical and laboratory data were collected to calculate the CURB-65, PSI, SMART-COP, NEWS, and NEWS-L scores. Receiver operating characteristic (ROC) curves and the area under the curve (AUC) were used to compare the predictive performance of these scoring systems for ICU admission. Results: The study found that the PSI score had the highest predictive value for ICU admission, with an AUC of 0.87. The NEWS and NEWS-L scores also showed good predictive value with AUC of 0.84 and 0.83, respectively, which were higher than those of the CURB-65 and SMART-COP scores. Conclusion: The NEWS and NEWS-L scoring systems were simple and valuable tools for predicting ICU admission in patients with CAP when applied in Emergency Department triage.
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Keywords
Community-acquired pneumonia, ICU, predictive score.
References
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