Evaluation on the prognostic valueof enhanced CURB and CURB-65in patients with community acquired pneumonia
10.19405/j.cnki.issn1000-1492.2017.04.015
- VernacularTitle:强化CURB和CURB-65对社区获得性肺炎的预后价值分析
- Author:
Yuanyuan TAN
;
Hong ZHANG
- Keywords:
enhanced CURB score;
CURB-65;
community acquired pneumonia;
prognosis
- From:
Acta Universitatis Medicinalis Anhui
2017;52(4):533-536
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the prognostic value of enhanced CURB and CURB-65 score in patients with community acquired pneumonia.Methods A retrospective study was conducted among 555 patients with community-acquired pneumonia recruited.According to the patient's 28 day outcome, they were divided into effective group(n=510, 57 cured and 453 improved) and ineffective group(n=45, 30 did not improve and 15 died).The prognosis of the two groups was evaluated using the enhanced CURB and CURB-65 score, the sensitivity and specificity of the two scoring methods were compared.Results Compared with the ineffective group, the age, length of hospital stay and the prevalence of the complications of chronic diseases were significantly lower than the effective group(P<0.05).The score of enhanced CURB and CURB-65 of ineffective group were significantly higher than the effective group(P<0.05).The sensitivity of enhanced CURB score was significantly higher than that of CURB-65 (P<0.05) while its specificity was significantly lower than that of CURB-65(P<0.05).Conclusion The CURB and CURB-65 score in community acquired pneumonia can effectively assess the severity of the disease and thus guide the treatment of patients with community acquired pneumonia.
