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首页> 外文期刊>Proceedings of Singapore Healthcare >Prognostic value of Pneumonia Severity Index, CURB-65, CRB-65, and procalcitonin in community-acquired pneumonia in Singapore:
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Prognostic value of Pneumonia Severity Index, CURB-65, CRB-65, and procalcitonin in community-acquired pneumonia in Singapore:

机译：肺炎严重程度指数，CURB-65，CRB-65和降钙素对新加坡社区获得性肺炎的预后价值：

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Objective:The purpose of this study was to evaluate the performance of three severity scoring tools and procalcitonin (PCT) in severity stratification and mortality prediction among patients with community-acquired pneumonia (CAP) in Singapore.Methods:The method used was a retrospective observational study of all the consecutive patients with CAP admitted through the emergency department of Singapore General Hospital between 2012–2013.Results:Among 1902 study subjects, the overall 30-day mortality was 15.7%. The mortality rates for Pneumonia Severity Index (PSI) class I–III were 0, 0, and 3.7%, which were comparable to the original published data. CURB-65 and CRB-65 had higher mortality rates in all severity levels. In three levels of risk stratification, the low risk group of PSI (class I–III) included 42.6% of the patients with mortality rate of 1.9%, whereas the low risk group defined by CURB-65 (score 0–1) and CRB-65 (score 0) included 52.0% and 24.4% of the patients with higher mortality rates (7.3% ...
机译：目的：本研究旨在评估新加坡社区获得性肺炎（CAP）患者中三种严重程度评分工具和降钙素（PCT）在严重程度分层和死亡率预测中的作用。方法：采用回顾性观察方法该研究对2012年至2013年间通过新加坡综合医院急诊科收治的所有连续CAP患者进行的研究。结果：在1902名研究对象中，30天总死亡率为15.7％。 I–III级肺炎严重程度指数（PSI）的死亡率分别为0、0和3.7％，与原始公布的数据相当。 CURB-65和CRB-65在所有严重程度的死亡率均较高。在三个风险分层中，PSI的低风险组（I–III级）包括42.6％的患者，死亡率为1.9％，而CURB-65（评分0-1）和CRB定义的低风险组-65（得分0）包括52.0％和24.4％的较高死亡率的患者（7.3％...

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