Comparative Predictive Value of the Severity Assessment Tools in ICU Patients with Community-Acquired Pneumonia

Clinical Microbiology and Antimicrobial Chemotherapy. 2007; 9(4):330-336

Journal article


Validation of the following assessment tools (APACHEII, SOFA, CURB-65, CRB-65, PORT, SMRT-CO) was performed based on data obtained from 300 ICU patients with community-acquired pneumonia (CAP). Predictive value of the scores was determined using ROC-analysis (Receiver Operating Characteristic analysis). “Sensitivityprobability of false-negative results” curves were constructed, and areas under the curve (AUC) were also calculated. Analysis showed that specific severity assessment scores, such as PORT, CURB-65, CRB-65 anв SMRT-CO, and Sepsis-related Organ Failure Assessment score (SOFA) had comparable predictive value in patients with severe CAP. The calculated scores might play only an auxiliary role in predicting need for ICU admission. Therefore, decisions should be made based on clinical judgment and taking into account the settings in the given institution.

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