STUDY OF PNEUMONIA SEVERITY INDEX AND CURB-65 IN COMMUNITY ACQUIRED PNEUMONIA IN INDUSTRIAL SET-UP
Main Article Content
Keywords
PSI, CURB-65, Community Acquired Pneumonia
Abstract
Background
This study was conducted to determine if the pneumonia severity index and CURB-65 are applicable to patients who have community-acquired pneumonia and to investigate the prognostic usefulness of these markers (need for ICU admission and death) in these individuals.
Methods
This was a hospital-based prospective observational study conducted among eighty patients who were diagnosed to be having community-acquired pneumonia admitted to Hindustan Aeronautics Hospital, over a period of 18 months after obtaining clearance from the institutional ethics committee and written informed consent from the study participants.
Results
In our study, we observed a significant association between age, ventilator support, inotropes, ICU stay, and mortality with increasing scores in both PSI and CURB-65 scoring systems, demonstrating a high degree of sensitivity and specificity. Whereas the PSI score has a higher prediction for ICU admission and ventilator requirement in CAP patients, the CURB score has a higher prediction for mortality in CAP patients. The ROC curve for ICU admitted patients, patients who received ventilator support, and mortality among CAP subjects was higher for PSI score than CURB-65, that is, PSI score has higher sensitivity, specificity, and area under curve for mortality for all the three aforementioned parameters in CAP patients.
Conclusion
Both our study's and the earlier research's mortality rates in the various risk classes demonstrated that, in both the PSI and CURB-65 risk classes, mortality rates increased steadily as risk scores increased. In predicting ICU admission, ventilator support, inotropic support, and mortality, both PSI and CURB65 have good specificity, with PSI having better sensitivity and specificity than CURB65.
References
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Dr. Sudheer Babu Medide Reddy
Senior Resident, Department of General Medicine, MNR Medical College, Sangareddy , Telangana, India.
Dr. Sachin Y. Gitte
Assistant Professor, Department of Medicine, SRTR Government Medical College, Ambejogai, Beed, Maharashtra, India.
Dr. Shailendra A. Satpute
Senior Resident, Department of Anaesthesia, SRTR Government Medical College, Ambajogai, Beed, Maharashtra, India.
Dr. Sanket Patil
Assistant Professor, Department of Neurology, KMCRI, Hubballi, Karnataka, India.