Comparison of PSI, CURB-65 and I-ROAD Scoring Systems ın Patients with Community-Acquired Pneumonia
Bratislava Medical Journal, cilt.126, sa.6, ss.1023-1031, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 126 Sayı: 6
- Basım Tarihi: 2025
- Doi Numarası: 10.1007/s44411-025-00112-w
- Dergi Adı: Bratislava Medical Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, EMBASE
- Sayfa Sayıları: ss.1023-1031
- Anahtar Kelimeler: Community-acquired pneumonia, CURB-65, I-ROAD, PSI
- Trakya Üniversitesi Adresli: Evet
Özet
Background: In patients with community-acquired pneumonia (CAP), scoring systems are important for determining disease severity and selecting the appropriate unit and antibiotics for treatment. The aim of this study was to determine the 30- and 90-day mortality rates, identify influencing factors, and compare the effectiveness of the PSI, CURB-65, and I-ROAD systems in predicting mortality among patients hospitalized for CAP. Methods: We prospectively included adult patients with CAP requiring hospitalization at Hospital between January 2019 and January 2020. Patients were categorized based on the CURB-65, PSI, and I-ROAD systems, and their treatment success as well as 30- and 90-day survival rates were evaluated. Results: The study comprised 60 patients with CAP, of whom 40 were male (66.7%). When assessing factors influencing 30-day mortality, the impact of immunosuppression (p:0.004), presence of malignancy (p: 0.003), Apache II score (p:0.014), and steroid use (p:0.004) was found to be significant. Both PSI and CURB-65 had a impact on 30-day mortality (p = 0.005, p = 0.007). Although there was an observed difference in mortality between the I-ROAD groups, its effect on mortality was not statistically significant (p = 0.093). Analyzing 90-day mortality revealed that the PSI and CURB-65 classifications significantly affected mortality (p < 0.001; p = 0.037). Despite a mortality difference among the mild, moderate, and severe I-ROAD groups, the difference was not statistically significant (p = 0.256). Conclusions: Both PSI and CURB-65 were significant predictors for both 30-day and 90-day mortality, with PSI exhibiting the highest specificity. I-ROAD did not show statistical significance, although a notable difference was found between the groups.