改良CURB-65评分对老年社区获得性肺炎患者的风险评估作用

Risk assessment of modified CURB-65 score for the aged patients with community-acquired pneumonia

目的探究改良CURB-65评分对老年社区获得性肺炎患者(community-acquired pneumonia,CAP)患者的风险评估作用。方法回顾性分析该院急诊科收治的80例老年CAP患者,分别应用CURB-65评分及改良CURB-65评分进行评估,根据评分结果分别分为低风险组及高风险组,并记录各分组机械通气例数、入住ICU例数及死亡例数。结果 CURB-65评分结果及改良CURB-65评分结果行Kappa检验,提示两种评分的风险评估效果存在一致性(Kappa=0.594,P﹤0.001)。不同评分系统,同一风险分层的患者的机械通气率、ICU入住率及死亡率差异无统计学意义(P﹥0.05);不同风险分层,同一评分系统,高风险组患者的机械通气率、ICU入住率及死亡率明显高于低风险组(P﹤0.05)。结论改良CURB-65评分在老年社区获得性肺炎患者中的风险评估效果与CURB-65评分的一致,因其较CURB-65评分获取更为简便,因此可应用在老年CAP急诊临床中。

Objective To investigate the risk assessment of modified CURB-65 score for the aged patients with community-acquired pneumonia （CAP）. Methods 80 aged patients with CAP were divided into low risk group and high risk group according to CURB-65 score and modified CURB-65 score. Compared the mechanical ventilation and mortality rates, occupancy rate of ICU in each group. Results The modified CURB-65 score had consistency with CURB-65 score. Both of two score system had no significant difference in mechanical ventilation rate, mortality rates and occupancy rate of ICU in the same risk group. Mechanical ventilation rate, mortality rates and occupancy rate oflCU in the high risk group were significantly higher than those in low risk group in the same score system. Conelusiun Modified CURB-65 score has the same function as CURB-65 in the risk assessment of CAP for aged emergency patients.