GIÁ TRỊ CÁC TIÊU CHUẨN PHỤ VIÊM PHỔI NẶNG THEO ATS/IDSA TRONG DỰ ĐOÁN TỬ VONG 30 NGÀY Ở BỆNH NHÂN VIÊM PHỔI MẮC PHẢI CỘNG ĐỒNG TẠI BỆNH VIỆN PHẠM NGỌC THẠCH

Abstract

Objective: To determine the value of severe pneumonia sub-criteria according to ATS/IDSA in predicting 30-day mortality in community-acquired pneumonia patients at Pham Ngoc Thach Hospital. Subjects 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 enrolled 145 patients, with a male predominance at a ratio of approximately 2:1. The median age was 62 (52-72) years, with the highest being 92 years and the lowest being 16 years old. The 30-day mortality rate was 42 (28,9%) patients, and as the number sub-criteria under ATS/IDSA increased, the 30-day mortality rate also increased. The area under the AUC curve was 0,902, statistically significant, with a sensitivity of 92,9% and specificity of 73,8% (using a cut-off of ≥3sub-criteria). Conclusion: The ATS/IDSA sub-criteria have a relatively high prognostic value and statistical significance. A cut-off threshold of ≥ 3 sub-criteria is appropriate for determining the prognostic value of mortality in community-acquired pneumonia patients, with sensitivity and specificity of 92,9% and 73,8% respectively. The higher the number of sub-criteria according to ATS/IDSA, the higher the mortality rate.