Eurasian Journal of Critical Care

Yazarlar: Şeref Emre ATİŞ, Merve EKŞİOĞLU, Bora ÇEKMEN, Esra KARAMAN, Öner BOZAN

Konular:Acil Tıp, Yoğun Bakım, Tıp

Anahtar Kelimeler:Procalcitonin,Pneumonia,Curb-65,Smart-Cop Score

Özet: Study Objectives Know the result of disease severity and clinical results in community-acquired pneumonia (CAP) are preconditions for treatment options and management for health care resources. Various scoring systems as CURB-65 and SMART-COP have been developed to facilitate these awareness. We aimed to investigate the relationship between these two scoring systems with procalcitonin level in the diagnosis of CAP. Methods Study included hospitalized patients diagnosis CAP that had been admitted to the emergency department between 01.01.2015 - 12.31.2015. CURB-65 and SMART-COP scores were calculated. We collected measured procalcitonin levels. As described previously during the study, patients who had 2 and over values for CURB-65 and who had values 3 or more for SMART-COP were classified as high risk and groupings were structured according to these values. Results The study was conducted on a total of 124 cases. 72 of the cases had a CURB-65 score of 2 or more and 49 of the cases had a SMART-COP score of 3 or above. The cases’ procalcitonin levels which had 2 ng/ml or above scores for CURB-65 had higher statistical significance than the cases that had 2 or less scores for CURB-65 (P: 0,004; p<0,05). The cases’ procalcitonin levels that had 3 or above scores for SMART-COP had higher statistical significance than the cases which had 2 or less scores for SMART-COP (p: 0,001; p<0,05). Conclusions High procalcitonin levels were associated with the patients who had high scores in both scoring systems, and had a relationship with the severity and course of the disease.

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