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Validation of CURB-65 Scoring System in Indonesian Patients with HAP

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ABSTRACT

Background: Hospital-acquired pneumonia (HAP) is a common infection occurring in hospitalized patients. CURBS 6$ (Confusion, Ummic, Respiratory, Blood Pressure, Age over 65) scoring system was developed to assess severity and risk in community-acquired pneumonia (CAP) but its use has not been validated In HAP patients in Indonesia. Objective: To validate the performance of CURB-65 scoring system to predict mortality in Indonesian patients with HAP

Methods: This iso validation study with retrospective cohort design. Data were taken from medical rem* in Cipto Mon,qunkusumo Hospital, Jakarta, Indonesia, from January 2006 to December 2012. Among 204 recruited HAP patients, 171 patients with complete data were included, Bosmer-Lemeshow test was conducted to test the accuracy and area under Receiver Operating Curve (ROC) was calculated to discriminate the performance of CURB-65 scoring system. The specific& yond sensitivity value of CURB-65 to predict mortality In HAP patients were analyzed. Statisticalanalysis was performed using SP55 16.0.

Results: The overall mortality proportion is 42.7%. Hosmentemeshow test shows good accuracy (pe1.00). The area under the ROC is 0.376, showing bad discriminating performance of CURB-65 scoring system. Using the cue-off value of score 2, the sensitivity of CURB-65 is 71.2% and its specificity is 42.996 to predict mortality in HAP

Conclusion: CURB-65 has low specificity and sensitivity value to predict mortality in HAP patients.

Key words: CURB-65, hospital-acquired pneumonia

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Ketersediaan

Informasi Detail

Judul Seri

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No. Panggil

Indonesian Journal of CHEST, 1 (3) 2014 : 105-107

Penerbit

Jakarta : Indonesian Journal of Chest., 2014

Deskripsi Fisik

3 p

Bahasa

ISBN/ISSN

2355-4584

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Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

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Pernyataan Tanggungjawab

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