Role of oximetry as an alternative prognostic index in the CURB65 in a cohort of elderly patients in South America.

Poster ID
1836
Authors' names
Dulcey L1; Theran J2; Caltagirone R3; Gomez J1; Ciliberti M1; Blanco C1; Martinez J1; Mayorca J1; Parales R1; Cabrera V1; Cala M1; L Gutierrez1; C Herran1.
Author's provenances
1. Autonomous University of Bucaramanga, Department of Medicine Colombia, 2. University of Santander, Department of Medicine Colombia, 3. University of the Andes, Department of Medicine Venezuela.
Conditions

Abstract

Introduction:

The use of pneumonia scores to stratify the prognosis is very useful in general terms, since it allows objectively evaluating the risks in these patients. The main objective was to determine the usefulness of pulse oximetry as a substitute for urea of the CURB 65 score in the evaluation of the severity of comunity acquired pneumonia (CAP) in patients.

Methods:

open-label, mixed-type study, first cross-sectional phase Test vs. Test, second phase follow-up at 8 and 30 days. Carried out between November 2017 and April 2018.

Results:

5 patients, gender distribution was comparable, the main age group was made up of over 65 years. The frequency of comorbidities was greater than 90%, among which hypertension, diabetes and smoking stand out. The mean hospitalization time was 10 days. The variable that most defined the need for hospital admission was hypoxemia with a percentage of 72%, regardless of the score on the CURB 65 scale, it was shown that oxygen saturation <92% is associated with a high 30-day mortality rate ( 43.07%) n=28, (p 0), with a relative risk of at least 4 times more to die. When correlating the CURB 65 and CORB 65 scales with Spearman's Rho test, a correlation coefficient (0.898) was obtained.

Conclusions:

pulse oximetry proved to be a good substitute for urea in the CURB 65 score, useful for defining hospitalization, severity, and mortality in patients with CAP.

Presentation

Comments

This data is 5 years old and I wonder that the poster does not really tell us what was done to lead to the conclusion that the adaptation of the CURB65 is viable. The abstracts say there were 5 patients. Is this the case?

Submitted by Dr Benjamin Je… on

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Sorry 65 patients.

Submitted by Dr Luis Dulcey on

In reply to by Dr Benjamin Je…

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