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Critical Care |

Comparison of PSI, A-DROP, CURB-65, and SOAR Indices in Adult Patients With Community Acquired Pneumonia and Relation With Mortality

Aysin Sakar Coskun, MD; Yavuz Havlucu, MD; Cemile Cetinkaya, MD; Aykut Cilli, MD; Burcu Karaboga, MD; Oguz Kilinc, MD; Oznur Kilic, MD; Sezai Tasbakan, MD; Canan Gunduz, MD; Armagan Hazar, MD; Fatma Gündüz, MD; Nurdan Kokturk, MD; Esra Uzaslan, MD; Ayten Filiz, MD; Oner Dikensoy, MD; Mehmet Polatli, MD; Abdullah Sayiner, MD
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Celal Bayar University Medical Faculty, Manisa, Turkey


Chest. 2013;144(4_MeetingAbstracts):387A. doi:10.1378/chest.1689949
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Abstract

SESSION TITLE: ICU Infections Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 30, 2013 at 01:30 PM - 02:30 PM

PURPOSE: In this study, we evaluated the relation between PSI, A-DROP, CURB-65, and SOAR indices and investigate the importance of these indices in mortality in adult patients with community acquired pneumonia (CAP).

METHODS: 788 patients registered to “Pneumonia Data Base” that prepared by Turkish Thoracic Society Respiratory Infections Scientific Assembly between January 2009 and January 2013 were included to the study.Socio-demographic findings, symptoms, comorbidities, habits, history, physical examination findings, laboratory and radiological findings, pneumonia severity groups, treatment result, duration of hospitalization, and cost of disease treatment of patients were obtained from “Pneumonia Data Base”. Indices above were calculated for each patient.According to patients status, control of patients were done different duration and symptoms,physical examination findings, laboratory and radiological findings,and treatment results were recorded.

RESULTS: There were 68% of male and mean age was 65,59±16,99 years.89,3% patients were hospitalized.47,4% of patients were totally cured, 36,4% were partially cured, and mortality rate was 7,8%.Mean scores of PSI,CURB-65,SOAR and A-DROP were 99.5±35.1, 2.17±0.97, 1.59±1.07 and 2.10±1.03 respectively.When treatment results were compared with these indicese there was relation between treatment results and indices(p<0.001).There was relation between procalcitonin and treatment results but this relation was not observed between CRP and treatment results.Indices mentioned above were correlated with each other but they were not corraleted with procalcitonin and CRP.

CONCLUSIONS: As a result,PSI,A-DROP,CURB-65,and SOAR indices were found to be correlated with each other.All of the indices mentioned above has high estimation rate for treatment outcomes.

CLINICAL IMPLICATIONS: For this reason in daily practice simple indeces like A-DROP,SOAR,and CURB-65 can be used instead of complex indices.

DISCLOSURE: The following authors have nothing to disclose: Aysin Sakar Coskun, Yavuz Havlucu, Cemile Cetinkaya, Aykut Cilli, Burcu Karaboga, Oguz Kilinc, Oznur Kilic, Sezai Tasbakan, Canan Gunduz, Armagan Hazar, Fatma Gündüz, Nurdan Kokturk, Esra Uzaslan, Ayten Filiz, Oner Dikensoy, Mehmet Polatli, Abdullah Sayiner

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