Evaulation of PSİ and CURB-65 scoring systems which patients were diagnosed as community-acquired pneumonia in emergency department

Güzin İlhan, Zeynep Karakaya, Pınar Yaşim Akyol, Fatih Esad Topal, Umut Payza
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   The aim of study is to determine the correlation between pneumonia severity index (PSI) and CURB-65 according to the indications for hospitalization or discharge of patients with pneumonia referred to our emergency department.


 This retrospective study was performed on 150 patients with pneumonia cases admitted to our emergency department between June 2013 and June 2014. Demographic properties, clinic, radiologic and laboratory findings of cases were recorded from the files. All cases were grouped according to PSI and CURB-65 respectively. The correlation of these groups with each other according to the indications for hospitalization and dischargement was examined.


 47 (31.3%) female, 103 (68.7%) male 150 pneumonia cases aged 69.15±13.34 (min: 19; max: 92) years were included in the study. CURB-65 and PSI correlated in terms of hospitalization in 109 cases. CURB-65 and PSI were statistically correlated with each other (κ=0,602, p<0,001).We found that, determining the probability of intensive care unit indication, PSI more significant than CURB-65 (p=0,011, p=0,045, p<0,05).


  It is seen that currently used two pneumonia severity classifications (CURB-65, PSI) were correlated with each other according to the assessment of the indications for hospitalization. Since the scoring criteria of CURB-65 is fewer and easy to application even at the first line medical centers, of these pneumonia scoring systems it can be the first choice in the assessment of need of hospitalization indication in pneumonia. 


Community-acquired pneumonia; PSI; CURB-65; Emergency Department

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