Comorbidity score modes in the assessment of prognosis of elderly patients with severe pneumonia
SHI Qi-fang
SHENG Ying
WANG Shu-yun
Abstract：Objective To investigate combined comorbidity score ( CCS) and Charlson comorbidity index ( CCI) in the assessment of prognosis of elderly patients with severe pneumonia. Methods A retrospective review of elderly patients with severe pneumonia admitted to ICU was conducted. The CCS, CCI, PSI and APACHE Ⅱ were carried out to within 24 hours of admission. Clinical end point was death in 28 days after hospital admission. The discriminative power of the four scores was evaluated by the area under the receiver operating characteristic curve ( AUC) . Results The mortality rate was 41. 5％ ( 44 /106) . The scores of death group evaluated by CCS, CCI, PSI and APACHE Ⅱ were significantly higher than those of survival group ( P＜ 0. 05) . The AUCs of CCS, CCI, PSI and APACHE Ⅱ were 0. 783 ( 95％ CI0. 691-0. 859) , 0. 770 ( 95％ CI 0. 676-0. 848) , 0. 877 ( 95％ CI 0. 798-0. 934) and 0. 858 ( 95％ CI 0. 775-0. 919) , respectively. The AUCs of PSI and APACHE Ⅱ were significantly greater than those of CCS and CCI ( P＜0. 05) . There was no significant difference between the AUCs of CCS and CCI. Conclusion CCS and CCI have predictive values on assessing prognosis of elderly patients with severe pneumonia.
Keywords：severe pneumoniacomorbiditycharlson comorbidity indexacute physiology and chronic health evaluationpneumonia severity index
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 379-382 )