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Severity assessment...
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Pereira, J M
(författare)
Severity assessment tools in ICU patients with 2009 influenza A (H1N1) pneumonia.
- Artikel/kapitelEngelska2012
Förlag, utgivningsår, omfång ...
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Elsevier BV,2012
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Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-191479
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-191479URI
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https://doi.org/10.1111/j.1469-0691.2011.03736.xDOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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The aim of this study was to determine if severity assessment tools (general severity of illness and community-acquired pneumonia specific scores) can be used to guide decisions for patients admitted to the intensive care unit (ICU) due to pandemic influenza A pneumonia. A prospective, observational, multicentre study included 265 patients with a mean age of 42 (±16.1) years and an ICU mortality of 31.7%. On admission to the ICU, the mean pneumonia severity index (PSI) score was 103.2 ± 43.2 points, the CURB-65 score was 1.7 ± 1.1 points and the PIRO-CAP score was 3.2 ± 1.5 points. None of the scores had a good predictive ability: area under the ROC for PSI, 0.72 (95% CI, 0.65-0.78); CURB-65, 0.67 (95% CI, 0.59-0.74); and PIRO-CAP, 0.64 (95% CI, 0.56-0.71). The PSI score (OR, 1.022 (1.009-1.034), p 0.001) was independently associated with ICU mortality; however, none of the three scores, when used at ICU admission, were able to reliably detect a low-risk group of patients. Low risk for mortality was identified in 27.5% of patients using PIRO-CAP, but above 40% when using PSI (I-III) or CURB65 (<2). Observed mortality was 13.7%, 13.5% and 19.4%, respectively. Pneumonia-specific scores undervalued severity and should not be used as instruments to guide decisions in the ICU.
Ämnesord och genrebeteckningar
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Clinical Physiology
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Klinisk fysiologi
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Moreno, R P
(författare)
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Matos, R
(författare)
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Rhodes, A
(författare)
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Martin-Loeches, I
(författare)
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Cecconi, M
(författare)
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Lisboa, T
(författare)
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Rello, J
(författare)
Sammanhörande titlar
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Ingår i:Clinical Microbiology and Infection: Elsevier BV18:10, s. 1040-81198-743X1469-0691
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