Abstract：
:The pneumonia severity index (PSI) and CURB-65 are widely used tools for the prediction of community-acquired pneumonia (CAP). This study was conducted to evaluate validation of severity scoring system including the PSI and CURB-65 scores of Korean CAP patients. In the prospective CAP cohort (participated in by 14 hospitals in Korea from January 2009 to September 2011), 883 patients aged over 18 yr were studied. The 30-day mortalities of all patients were calculated with their PSI index classes and CURB scores. The overall mortality rate was 4.5% (40/883). The mortality rates per CURB-65 score were as follows: score 0, 2.3% (6/260); score 1, 4.0% (12/300); score 2, 6.0% (13/216); score 3, 5.7% (5/88); score 4, 23.5% (4/17); and score 5, 0% (0/2). Mortality rate with PSI risk class were as follows: I, 2.3% (4/174); II, 2.7% (5/182); III, 2.3% (5/213); IV, 4.5% (11/245); and V, 21.7% (15/69). The subgroup mortality rate of Korean CAP patients varies based on the severity scores and CURB-65 is more valid for the lower scores, and PSI, for the higher scores. Thus, these variations must be considered when using PSI and CURB-65 for CAP in Korean patients.
journal_name
J Korean Med Scijournal_title
Journal of Korean medical scienceauthors
Kim HI,Kim SW,Chang HH,Cha SI,Lee JH,Ki HK,Cheong HS,Yoo KH,Ryu SY,Kwon KT,Lee BK,Choo EJ,Kim DJ,Kang CI,Chung DR,Peck KR,Song JH,Suh GY,Shim TS,Kim YK,Kim HY,Moon CS,Lee HK,Park SY,Oh JY,Jung SI,Parkdoi
10.3346/jkms.2013.28.9.1276subject
Has Abstractpub_date
2013-09-01 00:00:00pages
1276-82issue
9eissn
1011-8934issn
1598-6357journal_volume
28pub_type
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