CURB-65Scoring System For Hospital-acquired Pneumonia In Patients With Clinical Applications

Objective To explore CURB-65scoring system used in hospital-acquiredpneumonia (HAP) in patients with disease severity and prognosis value. MethodsCheck the date of Respiratory Medicine selected HAP patients diagnosed withCURB-65scoring system to assess both APACHE Ⅱ score system as acontrol.Comparing the two scoring systems were the severity of the disease and thehospital30days patient survival as a prognostic comparison. Results70cases ofHAP patients with CURB-65score on the severity of the disease were mild42,moderate in21cases, severe in7cases; with APACHE Ⅱ score on the severity of thedisease were mild in26cases,32cases of moderate and severe12cases.Within30days of hospital time,17deaths (24.3%), CURB-65score and APACHE Ⅱ scorepoints: death group were2.294±0.772points and21.941±8.212points; survivalgroup were1.000±0.832points and11.396±5.979points.The group of death bydisease severity scoring system to determine two kinds of scores are in the severe, anddeath group and survival group two scoring system scores was statistically significant(P <0.05).Two kinds of scoring system in assessing the severity of patients with HAPis consistency (Kappa=0.561, p <0.05).ROC curve shows predicted survival,CURB-65score and APACHE Ⅱ two kinds of survival of patients with HAPpredicted AUC were0.859and0.892, sensitivity0.882and0.824, respectively0.741and0.811. Conclusion CURB65score as the severity assessment of patients with HAP, prognosis, and more than APACHE Ⅱ scoring system simple andeasy. It is worth widely used in clinical.