Document Detail


Comparison of severity scoring systems A-DROP and CURB-65 for community-acquired pneumonia.
MedLine Citation:
PMID:  18713094     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVE: The initial assessment of the severity of community-acquired pneumonia (CAP) is important for patient management. The Japanese Respiratory Society (JRS) has proposed a 6-point scale (0-5) to assess the clinical severity of CAP. The A-DROP scoring system assesses the following parameters: (i) Age (male >or= 70 years, female >or= 75 years); (ii) Dehydration (blood urea nitrogen (BUN) >or= 210 mg/L); (iii) Respiratory failure (SaO(2) <or= 90% or PaO(2) <or= 60 mm Hg); (iv) Orientation disturbance (confusion); and (v) low blood Pressure (systolic blood pressure <or= 90 mm Hg). A-DROP is a modified version of CURB-65 (confusion, BUN > 7 mmol/L (200 mg/L), respiratory rate >or= 30/min, low blood pressure (diastolic <or= 60 mm Hg or systolic < 90 mm Hg, and age >or= 65 years) proposed by the British Thoracic Society. However, validation of A-DROP has not been attempted nor has it been compared with CURB-65. The aim of this study was to confirm that A-DROP is equivalent to CURB-65 for predicting severity of CAP. METHODS: A retrospective observational study was conducted of patients with CAP hospitalized at a single centre between November 2005 and January 2007. The 30-day mortality after admission was compared following assessment of severity using the A-DROP and CURB-65 scoring systems. RESULTS: Three-hundred and twenty-nine patients were evaluated. The areas under the receiver operating characteristic curves were 0.846 (95% confidence interval (CI): 0.790-0.903) and 0.835 (95% CI: 0.763-0.908) for A-DROP and CURB-65, respectively. CONCLUSION: The JRS A-DROP can be used to assess severity of CAP, and gives similar results to CURB-65.
Authors:
Yuichiro Shindo; Shinji Sato; Eiichi Maruyama; Takamasa Ohashi; Masahiro Ogawa; Kazuyoshi Imaizumi; Yoshinori Hasegawa
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Publication Detail:
Type:  Comparative Study; Journal Article; Validation Studies    
Journal Detail:
Title:  Respirology (Carlton, Vic.)     Volume:  13     ISSN:  1440-1843     ISO Abbreviation:  Respirology     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-20     Completed Date:  2008-11-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9616368     Medline TA:  Respirology     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  731-5     Citation Subset:  IM    
Affiliation:
Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan. yshindo@mbe.ocn.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Community-Acquired Infections / diagnosis*,  physiopathology,  psychology
Confusion / physiopathology
Dehydration / physiopathology
Great Britain
Humans
Hypotension / physiopathology
Japan
Pneumonia / diagnosis*,  physiopathology,  psychology
Research Design*
Respiratory Insufficiency / physiopathology
Retrospective Studies
Severity of Illness Index*
Societies, Medical

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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