VALIDITY OF CONFUSION, UREMIA, RESPIRATORY RATE, BLOOD PRESSURE, AND AGE ≥60 YEARS (CURB-60) AND CONFUSION, RESPIRATORY RATE, BLOOD PRESSURE, AND AGE ≥60 (CRB-60) IN DETERMINING THE PROGNOSIS OF COMMUNITY-ACQUIRED PNEUMONIA IN THE ELDERLY

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FARAZI ALIASGHAR; SOUFIAN MASOUMEH; NAYEBZADEH BANAFSHEH

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Journal: JOURNAL OF ISFAHAN MEDICAL SCHOOL (I.U.M.S) Year:2014 | Volume:32 | Issue:275 Page(s): 149-159

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Title

VALIDITY OF CONFUSION, UREMIA, RESPIRATORY RATE, BLOOD PRESSURE, AND AGE ≥60 YEARS (CURB-60) AND CONFUSION, RESPIRATORY RATE, BLOOD PRESSURE, AND AGE ≥60 (CRB-60) IN DETERMINING THE PROGNOSIS OF COMMUNITY-ACQUIRED PNEUMONIA IN THE ELDERLY

Author(s)

FARAZI ALIASGHAR | SOUFIAN MASOUMEH | NAYEBZADEH BANAFSHEH | Issue Writer Certificate

Keywords

COMMUNITYQ2

ACQUIRED PNEUMONIAQ2

CONFUSIONQ2

UREMIAQ2

RESPIRATORY RATEQ2

BLOOD PRESSUREQ2

AND AGE ≥Q2

60 YEARS (CURBQ2

60)Q2

CONFUSIONQ2

RESPIRATORY RATEQ2

BLOOD PRESSUREQ2

AND AGE ≥Q2

60 (CRBQ2

60)Q2

ELDERLYQ2

Abstract

Background: Due to high rates of mortality from pneumonia in the elderly, using a simple model for determining the prognosis of pneumonia can lead to a decrease in the mortality rate in this group. This study aimed to determine the validity of CONFUSION, UREMIA, RESPIRATORY RATE, BLOOD PRESSURE, AND AGE ≥60 years (CURB-60) and CONFUSION, RESPIRATORY RATE, BLOOD PRESSURE, AND AGE ≥60 (CRB-60) models in determining the prognosis of COMMUNITY-acquired pneumonia in the elderly and comparison them with models of the pneumonia severity index (PSI), CURB-65, and CRB-65.Methods: This cross-sectional study was conducted in 2013 in Arak University of Medical Sciences, Iran. Data of 141 patients with the age of 60 years and older with COMMUNITY-acquired pneumonia who had inclusion criteria were included in the study and analyzed. P-value < 0.05 was considered significant.Findings: The mean age of patients was 68.9 ± 7.6 with the median of 65.0 years. 76 patients (53.9%) were men and sex ratio of men/women was 1.17. 71.6% of patients were in urban areas. The most common comorbidity was cardiovascular disease (37.6%) and the most common sign and symptom were respiratory rale (92.2%), hypothermia or hyperthermia (88.7%), respectively. Sensitivity, specificity and positive predictive value of PSI and CURB-60 model for third day recovery were higher than the other models. The highest positive predictive value of intensive care unit (ICU) admission until the fourteenth day and 30-day mortality were in the models of CURB-65 and CRB-60.Conclusion: To determine the severity and prognosis of COMMUNITY-acquired pneumonia in the elderly, CURB-60 and CRB-60 models can be used.

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APA: Copy

FARAZI, ALIASGHAR, SOUFIAN, MASOUMEH, & NAYEBZADEH, BANAFSHEH. (2014). VALIDITY OF CONFUSION, UREMIA, RESPIRATORY RATE, BLOOD PRESSURE, AND AGE ≥60 YEARS (CURB-60) AND CONFUSION, RESPIRATORY RATE, BLOOD PRESSURE, AND AGE ≥60 (CRB-60) IN DETERMINING THE PROGNOSIS OF COMMUNITY-ACQUIRED PNEUMONIA IN THE ELDERLY. JOURNAL OF ISFAHAN MEDICAL SCHOOL (I.U.M.S), 32(275), 149-159. SID. https://sid.ir/paper/50092/en

Vancouver: Copy

FARAZI ALIASGHAR, SOUFIAN MASOUMEH, NAYEBZADEH BANAFSHEH. VALIDITY OF CONFUSION, UREMIA, RESPIRATORY RATE, BLOOD PRESSURE, AND AGE ≥60 YEARS (CURB-60) AND CONFUSION, RESPIRATORY RATE, BLOOD PRESSURE, AND AGE ≥60 (CRB-60) IN DETERMINING THE PROGNOSIS OF COMMUNITY-ACQUIRED PNEUMONIA IN THE ELDERLY. JOURNAL OF ISFAHAN MEDICAL SCHOOL (I.U.M.S)[Internet]. 2014;32(275):149-159. Available from: https://sid.ir/paper/50092/en

IEEE: Copy

ALIASGHAR FARAZI, MASOUMEH SOUFIAN, and BANAFSHEH NAYEBZADEH, “VALIDITY OF CONFUSION, UREMIA, RESPIRATORY RATE, BLOOD PRESSURE, AND AGE ≥60 YEARS (CURB-60) AND CONFUSION, RESPIRATORY RATE, BLOOD PRESSURE, AND AGE ≥60 (CRB-60) IN DETERMINING THE PROGNOSIS OF COMMUNITY-ACQUIRED PNEUMONIA IN THE ELDERLY,” JOURNAL OF ISFAHAN MEDICAL SCHOOL (I.U.M.S), vol. 32, no. 275, pp. 149–159, 2014, [Online]. Available: https://sid.ir/paper/50092/en

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