Risk Stratification of Patients with Community Acquired Pneumonia Presenting to Emergency Room and Prediction of Mortality Based on Severity Scores

Sonia Devidas Pawaskar; Rohith Yogish; Rahul Devidas Pawaskar

doi:doi:10.11648/j.ijcems.20230906.11

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Risk Stratification of Patients with Community Acquired Pneumonia Presenting to Emergency Room and Prediction of Mortality Based on Severity Scores

Sonia Devidas Pawaskar, Rohith Yogish, Rahul Devidas Pawaskar^*

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 9, Issue 6)

Received: 6 October 2023 Accepted: 7 November 2023 Published: 17 November 2023

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Abstract

Community-acquired pneumonia (CAP) is defined as acute pulmonary infection in a patient, who is not hospitalized or residing in a long-term care facility for 14 or more Days before presentation. CAP is one of the most common infectious diseases addressed by clinicians and is an important cause of mortality and morbidity worldwide Pneumonia is one of the leading causes of death and morbidity, both in developing and developed countries and is the commonest cause (10%) of hospitalization in adult and children. Estimates of the incidence of community-acquired pneumonia range from 4 million to 5 million cases per year, with about 25% requiring hospitalization. Community-acquired pneumonia refers to pneumonia acquired outside of hospitals or extended-care facilities. It is important to risk stratify patients with pneumonia to look for morbidity and mortality. Objectives of study was to risk stratify the patients with community acquired pneumonia in the emergency room using CURB-65 score, SOFA score, QSOFA score, PSI score. All patients with community acquired pneumonia after application of the Inclusion and exclusion criteria were involved in the study. The clinical data with clinical Examination findings, investigations, clinical severity score, treatment, outcome were entered into a structured Performa. The patients were followed up for 28 days from the time of discharge. In our study we found that PSI and QSOFA score predicted mortality with p value of <0.001 which is highly sensitive compared to other scores.

Published in	International Journal of Clinical and Experimental Medical Sciences (Volume 9, Issue 6)
DOI	10.11648/j.ijcems.20230906.11
Page(s)	98-107
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Pneumonia, CURB-65, Pneumonia Severity Index, Prognosis, Mortality, QSOFA

References

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[2]	Author {Saeed, Ghufran And Gaba, Waqar And Shah, Asad And Helali, Abeer And Raidullah, Emadullah And Ali, Ameirah And Elghazali, Mohammed And Ahmed, Deena And Kaabi, Shaikha And Almazrouei, Safaa}, Year = {2021}, Month = {01}, Pages = {1-7}, Title = {Correlation Between Chest Ct Severity Scores And The Clinical Parameters Of Adult Patients With Covid-19 Pneumonia}, Volume = {2021}, Journal = {Radiology Research And Practice}, Doi={10.1155/2021/6697677}
[3]	Tokioka, F., Okamoto, H., Yamazaki, A. Et Al. The Prognostic Performance Of Qsofa For Community-Acquired Pneumonia. J Intensive Care 6, 46 (2018). Https://Doi.Org/10.1186/S40560-018-0307-7
[4]	Anna M. Bramley, Carrie Reed, Lyn Finelli, Wesley H. Self, Krow Ampofo, Sandra R. Arnold, Derek J. Williams, Carlos G. Grijalva, Evan J. Anderson, Chris Stockmann, Christopher Trabue, Sherene Fakhran, Robert Balk, Jonathan A. Mccullers, Andrew T. Pavia, Kathryn M. Edwards, Richard G. Wunderink, Seema Jain, For The Centers For Disease Control And Prevention Etiology Of Pneumonia In The Community (Epic) Study Team, Relationship Between Body Mass Index And Outcomes Among Hospitalized Patients With Community-Acquired Pneumonia, The Journal Of Infectious Diseases, Volume 215, Issue 12, 15 June 2017, Pages 1873–1882, Https://Doi.Org/10.1093/Infdis/Jix241
[5]	Jensen Av, Egelund Gb, Andersen Sb, Et Al. The Impact Of Blood Glucose On Community-Acquired Pneumonia: A Retrospective Cohort Study. Erj Open Res 2017; 3: 00114-2016 [Https://Doi.Org/10.1183/23120541.00114-2016].
[6]	Safwat A. M. Eldaboosy, Khalid M. Halima, Ahmad T. Shaarawy, Hatem M. Kanany, Eman M. Elgamal, Abdel-Aleem El-Gendi, Mohamed O. Nour, Usama G. Abuelhassan, And Hessa A. Alshamery. “Comparison Between Curb-65, Psi, And Sipf Scores As Predictors Of Icu Admission And Mortality In Community-Acquired Pneumonia” The Egyptian Journal Of Critical Care Medicine, Vol. 3, No. 2-3, 2015. Doi: 10.1016/J.Ejccm.2015.10.001
[7]	Liu Z, Meng Z, Li Y, Zhao J, Wu S, Gou S, Wu H. Prognostic Accuracy Of The Serum Lactate Level, The Sofa Score And The Qsofa Score For Mortality Among Adults With Sepsis. Scand J Trauma Resusc Emerg Med. 2019 Apr 30; 27 (1): 51. Doi: 10.1186/S13049-019-0609-3. Pmid: 31039813; Pmcid: Pmc6492372.
[8]	Nunzia D’onofrio, Lucia Scisciola, Celestino Sardu, Maria Consiglia Trotta, Marisa De Feo, Ciro Maiello, Pasquale Mascolo, Francesco De Micco, Fabrizio Turriziani, Emilia Municinò, Pasquale Monetti, Antonio Lombardi, Maria Gaetana Napolitano, Federica Zito Marino, Andrea Ronchi, Vincenzo Grimaldi, Anca Hermian, Maria Rosaria Rizzo, Michelangela Barbieri, Renato Franco, Carlo Pietro Campobasso, Claudio Napoli, Maurizio Municinò, Giuseppe Paolisso, Maria Luisa Balestrieri, Raffaele Marfella, Glycated Ace2 Receptor In Diabetes: Open Door For Sars-Cov-2 Entry In Cardiomyocyte, Cardiovascular Diabetology, 10.1186/S12933-021-01286-7, 20, 1, (2021).
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[11]	Chalmers Jd, Singanayagam A, Akram Ar, Et AlSeverity Assessment Tools For Predicting Mortality In Hospitalized Patients With Community-Acquired Pneumonia. Systematic Review And Meta-AnalysisThorax 2010; 65: 878-883.
[12]	Li, Yonglin, Yan, Chunjiang, Gan, Ziyan, Xi, Xiaotu, Tan, Zhanpeng, Li, Jun, And Li, Guowei. “Prognostic Values Of Sofa Score, Qsofa Score, And Lods Score For Patients With Sepsis” Annals Of Palliative Medicine [Online], Volume 9 Number 3 (20 May 2020).
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APA Style

Devidas Pawaskar, S., Yogish, R., Devidas Pawaskar, R. (2023). Risk Stratification of Patients with Community Acquired Pneumonia Presenting to Emergency Room and Prediction of Mortality Based on Severity Scores. International Journal of Clinical and Experimental Medical Sciences, 9(6), 98-107. https://doi.org/10.11648/j.ijcems.20230906.11

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ACS Style

Devidas Pawaskar, S.; Yogish, R.; Devidas Pawaskar, R. Risk Stratification of Patients with Community Acquired Pneumonia Presenting to Emergency Room and Prediction of Mortality Based on Severity Scores. Int. J. Clin. Exp. Med. Sci. 2023, 9(6), 98-107. doi: 10.11648/j.ijcems.20230906.11

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AMA Style

Devidas Pawaskar S, Yogish R, Devidas Pawaskar R. Risk Stratification of Patients with Community Acquired Pneumonia Presenting to Emergency Room and Prediction of Mortality Based on Severity Scores. Int J Clin Exp Med Sci. 2023;9(6):98-107. doi: 10.11648/j.ijcems.20230906.11

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@article{10.11648/j.ijcems.20230906.11,
  author = {Sonia Devidas Pawaskar and Rohith Yogish and Rahul Devidas Pawaskar},
  title = {Risk Stratification of Patients with Community Acquired Pneumonia Presenting to Emergency Room and Prediction of Mortality Based on Severity Scores},
  journal = {International Journal of Clinical and Experimental Medical Sciences},
  volume = {9},
  number = {6},
  pages = {98-107},
  doi = {10.11648/j.ijcems.20230906.11},
  url = {https://doi.org/10.11648/j.ijcems.20230906.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20230906.11},
  abstract = {Community-acquired pneumonia (CAP) is defined as acute pulmonary infection in a patient, who is not hospitalized or residing in a long-term care facility for 14 or more Days before presentation. CAP is one of the most common infectious diseases addressed by clinicians and is an important cause of mortality and morbidity worldwide Pneumonia is one of the leading causes of death and morbidity, both in developing and developed countries and is the commonest cause (10%) of hospitalization in adult and children. Estimates of the incidence of community-acquired pneumonia range from 4 million to 5 million cases per year, with about 25% requiring hospitalization. Community-acquired pneumonia refers to pneumonia acquired outside of hospitals or extended-care facilities. It is important to risk stratify patients with pneumonia to look for morbidity and mortality. Objectives of study was to risk stratify the patients with community acquired pneumonia in the emergency room using CURB-65 score, SOFA score, QSOFA score, PSI score. All patients with community acquired pneumonia after application of the Inclusion and exclusion criteria were involved in the study. The clinical data with clinical Examination findings, investigations, clinical severity score, treatment, outcome were entered into a structured Performa. The patients were followed up for 28 days from the time of discharge. In our study we found that PSI and QSOFA score predicted mortality with p value of <0.001 which is highly sensitive compared to other scores.
},
 year = {2023}
}

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TY  - JOUR
T1  - Risk Stratification of Patients with Community Acquired Pneumonia Presenting to Emergency Room and Prediction of Mortality Based on Severity Scores
AU  - Sonia Devidas Pawaskar
AU  - Rohith Yogish
AU  - Rahul Devidas Pawaskar
Y1  - 2023/11/17
PY  - 2023
N1  - https://doi.org/10.11648/j.ijcems.20230906.11
DO  - 10.11648/j.ijcems.20230906.11
T2  - International Journal of Clinical and Experimental Medical Sciences
JF  - International Journal of Clinical and Experimental Medical Sciences
JO  - International Journal of Clinical and Experimental Medical Sciences
SP  - 98
EP  - 107
PB  - Science Publishing Group
SN  - 2469-8032
UR  - https://doi.org/10.11648/j.ijcems.20230906.11
AB  - Community-acquired pneumonia (CAP) is defined as acute pulmonary infection in a patient, who is not hospitalized or residing in a long-term care facility for 14 or more Days before presentation. CAP is one of the most common infectious diseases addressed by clinicians and is an important cause of mortality and morbidity worldwide Pneumonia is one of the leading causes of death and morbidity, both in developing and developed countries and is the commonest cause (10%) of hospitalization in adult and children. Estimates of the incidence of community-acquired pneumonia range from 4 million to 5 million cases per year, with about 25% requiring hospitalization. Community-acquired pneumonia refers to pneumonia acquired outside of hospitals or extended-care facilities. It is important to risk stratify patients with pneumonia to look for morbidity and mortality. Objectives of study was to risk stratify the patients with community acquired pneumonia in the emergency room using CURB-65 score, SOFA score, QSOFA score, PSI score. All patients with community acquired pneumonia after application of the Inclusion and exclusion criteria were involved in the study. The clinical data with clinical Examination findings, investigations, clinical severity score, treatment, outcome were entered into a structured Performa. The patients were followed up for 28 days from the time of discharge. In our study we found that PSI and QSOFA score predicted mortality with p value of <0.001 which is highly sensitive compared to other scores.

VL  - 9
IS  - 6
ER  -

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Author Information

Sonia Devidas Pawaskar

AJ Institute of Medical Science and Research Hospital, Mangalore, India
Rohith Yogish

AJ Institute of Medical Science and Research Hospital, Mangalore, India
Rahul Devidas Pawaskar

Justice Ks Hedge Charitable Hospital, Mangalore, India

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APA Style

Devidas Pawaskar, S., Yogish, R., Devidas Pawaskar, R. (2023). Risk Stratification of Patients with Community Acquired Pneumonia Presenting to Emergency Room and Prediction of Mortality Based on Severity Scores. International Journal of Clinical and Experimental Medical Sciences, 9(6), 98-107. https://doi.org/10.11648/j.ijcems.20230906.11

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ACS Style

Devidas Pawaskar, S.; Yogish, R.; Devidas Pawaskar, R. Risk Stratification of Patients with Community Acquired Pneumonia Presenting to Emergency Room and Prediction of Mortality Based on Severity Scores. Int. J. Clin. Exp. Med. Sci. 2023, 9(6), 98-107. doi: 10.11648/j.ijcems.20230906.11

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AMA Style

Devidas Pawaskar S, Yogish R, Devidas Pawaskar R. Risk Stratification of Patients with Community Acquired Pneumonia Presenting to Emergency Room and Prediction of Mortality Based on Severity Scores. Int J Clin Exp Med Sci. 2023;9(6):98-107. doi: 10.11648/j.ijcems.20230906.11

Copy | Download

@article{10.11648/j.ijcems.20230906.11,
  author = {Sonia Devidas Pawaskar and Rohith Yogish and Rahul Devidas Pawaskar},
  title = {Risk Stratification of Patients with Community Acquired Pneumonia Presenting to Emergency Room and Prediction of Mortality Based on Severity Scores},
  journal = {International Journal of Clinical and Experimental Medical Sciences},
  volume = {9},
  number = {6},
  pages = {98-107},
  doi = {10.11648/j.ijcems.20230906.11},
  url = {https://doi.org/10.11648/j.ijcems.20230906.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20230906.11},
  abstract = {Community-acquired pneumonia (CAP) is defined as acute pulmonary infection in a patient, who is not hospitalized or residing in a long-term care facility for 14 or more Days before presentation. CAP is one of the most common infectious diseases addressed by clinicians and is an important cause of mortality and morbidity worldwide Pneumonia is one of the leading causes of death and morbidity, both in developing and developed countries and is the commonest cause (10%) of hospitalization in adult and children. Estimates of the incidence of community-acquired pneumonia range from 4 million to 5 million cases per year, with about 25% requiring hospitalization. Community-acquired pneumonia refers to pneumonia acquired outside of hospitals or extended-care facilities. It is important to risk stratify patients with pneumonia to look for morbidity and mortality. Objectives of study was to risk stratify the patients with community acquired pneumonia in the emergency room using CURB-65 score, SOFA score, QSOFA score, PSI score. All patients with community acquired pneumonia after application of the Inclusion and exclusion criteria were involved in the study. The clinical data with clinical Examination findings, investigations, clinical severity score, treatment, outcome were entered into a structured Performa. The patients were followed up for 28 days from the time of discharge. In our study we found that PSI and QSOFA score predicted mortality with p value of <0.001 which is highly sensitive compared to other scores.
},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Risk Stratification of Patients with Community Acquired Pneumonia Presenting to Emergency Room and Prediction of Mortality Based on Severity Scores
AU  - Sonia Devidas Pawaskar
AU  - Rohith Yogish
AU  - Rahul Devidas Pawaskar
Y1  - 2023/11/17
PY  - 2023
N1  - https://doi.org/10.11648/j.ijcems.20230906.11
DO  - 10.11648/j.ijcems.20230906.11
T2  - International Journal of Clinical and Experimental Medical Sciences
JF  - International Journal of Clinical and Experimental Medical Sciences
JO  - International Journal of Clinical and Experimental Medical Sciences
SP  - 98
EP  - 107
PB  - Science Publishing Group
SN  - 2469-8032
UR  - https://doi.org/10.11648/j.ijcems.20230906.11
AB  - Community-acquired pneumonia (CAP) is defined as acute pulmonary infection in a patient, who is not hospitalized or residing in a long-term care facility for 14 or more Days before presentation. CAP is one of the most common infectious diseases addressed by clinicians and is an important cause of mortality and morbidity worldwide Pneumonia is one of the leading causes of death and morbidity, both in developing and developed countries and is the commonest cause (10%) of hospitalization in adult and children. Estimates of the incidence of community-acquired pneumonia range from 4 million to 5 million cases per year, with about 25% requiring hospitalization. Community-acquired pneumonia refers to pneumonia acquired outside of hospitals or extended-care facilities. It is important to risk stratify patients with pneumonia to look for morbidity and mortality. Objectives of study was to risk stratify the patients with community acquired pneumonia in the emergency room using CURB-65 score, SOFA score, QSOFA score, PSI score. All patients with community acquired pneumonia after application of the Inclusion and exclusion criteria were involved in the study. The clinical data with clinical Examination findings, investigations, clinical severity score, treatment, outcome were entered into a structured Performa. The patients were followed up for 28 days from the time of discharge. In our study we found that PSI and QSOFA score predicted mortality with p value of <0.001 which is highly sensitive compared to other scores.

VL  - 9
IS  - 6
ER  -

Copy | Download