Mortality of Community-Acquired Pneumonia in Korea: Assessed with the Pneumonia Severity Index and the CURB-65 Score
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 (partic...
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| Published in | Journal of Korean medical science Vol. 28; no. 9; pp. 1276 - 1282 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Korea (South)
The Korean Academy of Medical Sciences
01.09.2013
대한의학회 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1011-8934 1598-6357 1598-6357 |
| DOI | 10.3346/jkms.2013.28.9.1276 |
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| 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. |
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| AbstractList | 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.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. 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. 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. KCI Citation Count: 4 |
| Author | Park, Kyung Hwa Choo, Eun Ju Kim, Young Keun Shim, Tae Sun Moon, Chi Sook Kim, Hye In Cheong, Hae Suk Chang, Hyun Ha Sohn, Kyung Mok Chung, Doo Ryeon Peck, Kyong Ran Jung, Sook In Lee, Jae Hee Lee, Byung Kee Kang, Cheol-In Kwon, Ki Tae Park, Seong Yeon Cha, Seung Ick Jung, Ki Suck Yun, Na Ra Oh, Jin Young Lee, Hyun Kyung Suh, Gee Young Kim, Do Jin Song, Jae Hoon Yoo, Kwang Ha Ki, Hyun Kyun Kim, Yeon-Sook Kim, Shin Woo Kim, Hyo Youl Ryu, Seong Yeol Yoon, Sung Ho |
| AuthorAffiliation | 8 Division of Infectious Diseases, Soonchunhyang University Bucheon Hospital, Bucheon, Korea 13 Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea 12 Department of Pulmonology and Critical Care Medicine, University of Ulsan College of Medicine, Seoul, Korea 22 Division of Pulmonology, Allergy and Critical Care Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea 14 Division of Infectious Diseases, Department of Internal Medicine, Inje University Busan Paik Hospital, Busan, Korea 2 Division of Pulmonology, Kyungpook National University Hospital, Daegu, Korea 5 Division of Infectious Diseases, Keimyung University Dongsan Medical Center, Daegu, Korea 10 Division of Infectious Diseases, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea 16 Division of Infectious Diseases, Dongguk University Ilsan Hospital, Goyang, Korea 18 Division of Infectious Diseases, Chonnam National University Hospital, Gwangju, Korea 6 Division |
| AuthorAffiliation_xml | – name: 5 Division of Infectious Diseases, Keimyung University Dongsan Medical Center, Daegu, Korea – name: 20 Division of Pulmonology, Chosun University Hospital, Gwangju, Korea – name: 9 Division of Pulmonology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea – name: 13 Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea – name: 16 Division of Infectious Diseases, Dongguk University Ilsan Hospital, Goyang, Korea – name: 19 Division of Infectious Diseases, Chosun University Hospital, Gwangju, Korea – name: 6 Division of Infectious Diseases, Daegu Fatima Hospital, Daegu, Korea – name: 8 Division of Infectious Diseases, Soonchunhyang University Bucheon Hospital, Bucheon, Korea – name: 15 Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Inje University Busan Paik Hospital, Busan, Korea – name: 12 Department of Pulmonology and Critical Care Medicine, University of Ulsan College of Medicine, Seoul, Korea – name: 18 Division of Infectious Diseases, Chonnam National University Hospital, Gwangju, Korea – name: 11 Division of Pulmonology and Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea – name: 17 Division of Pulmonology, Dongguk University Ilsan Hospital, Goyang, Korea – name: 22 Division of Pulmonology, Allergy and Critical Care Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea – name: 14 Division of Infectious Diseases, Department of Internal Medicine, Inje University Busan Paik Hospital, Busan, Korea – name: 21 Division of Infectious Diseases, Chungnam National University Hospital, Daejeon, Korea – name: 4 Department of Pulmonology, Konkuk University School of Medicine, Seoul, Korea – name: 7 Division of Pulmonology, Daegu Fatima Hospital, Daegu, Korea – name: 3 Department of Infectious Diseases, Konkuk University School of Medicine, Seoul, Korea – name: 1 Division of Infectious Diseases, Kyungpook National University Hospital, Daegu, Korea – name: 2 Division of Pulmonology, Kyungpook National University Hospital, Daegu, Korea – name: 10 Division of Infectious Diseases, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |
| Author_xml | – sequence: 1 givenname: Hye In surname: Kim fullname: Kim, Hye In organization: Division of Infectious Diseases, Kyungpook National University Hospital, Daegu, Korea – sequence: 2 givenname: Shin Woo orcidid: 0000-0002-3755-8249 surname: Kim fullname: Kim, Shin Woo organization: Division of Infectious Diseases, Kyungpook National University Hospital, Daegu, Korea – sequence: 3 givenname: Hyun Ha surname: Chang fullname: Chang, Hyun Ha organization: Division of Infectious Diseases, Kyungpook National University Hospital, Daegu, Korea – sequence: 4 givenname: Seung Ick surname: Cha fullname: Cha, Seung Ick organization: Division of Pulmonology, Kyungpook National University Hospital, Daegu, Korea – sequence: 5 givenname: Jae Hee surname: Lee fullname: Lee, Jae Hee organization: Division of Pulmonology, Kyungpook National University Hospital, Daegu, Korea – sequence: 6 givenname: Hyun Kyun surname: Ki fullname: Ki, Hyun Kyun organization: Department of Infectious Diseases, 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| SubjectTerms | Adolescent Adult Aged Aged, 80 and over Asian Continental Ancestry Group Cohort Studies Community-Acquired Infections - mortality Female Humans Intensive Care Units Male Middle Aged Original Pneumonia - mortality Prospective Studies Republic of Korea Severity of Illness Index Young Adult 의학일반 |
| Title | Mortality of Community-Acquired Pneumonia in Korea: Assessed with the Pneumonia Severity Index and the CURB-65 Score |
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