الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 126 |  |  |
| | | from | 126 | | |
Abstract
Community-acquired pneumonia (CAP) is a common cause of
hospital admission and one of the major causes of death worldwide.
The mortality of CAP varies between studies, with higher rates of
death observed in those judged to have severe pneumonia.
Because the reported incidence of CAP is increasing, the ability
to accurately predict the mortality of CAP patients is essential during
initial assessment. Initial assessing physicians have been shown to
underestimate the risk of death, leading to inappropriate treatment and
rising mortality.
Therefore, to decrease the mortality of CAP, it is important to
assess the severity of pneumonia at the initial assessment and then to
determine whether advanced care is appropriate.
Guidelines recommend validation of clinical risk assessment by
validated scores like the CRB/CURB-65 score. However, negative and
positive predictive values of these criteria to predict ICU admission
are limited and some low-risk patients still have a relevant risk of
dying.
In this study, we aimed to make a comparative study between
the CURB-65 and Quick Sepsis-related Organ Failure Assessment
(qSOFA) scores in predicting the outcome and the need for
mechanical ventilation in patients with pneumonia.
The study included 100 patients presented to ED with
pneumonia. The cases were initially assessed and according to the
different outcomes, the patients were classified into 3 groups; patients
who were discharged (46 patients), patients admitted into ward (11
patients) and patients admitted into ICU (43 patients). In the group of
patients who were admitted into ICU, 26 patients required mechanical
ventilation and 17 patients didn‟t require mechanical ventilation.
After obtaining and informed consent from the cases or their
relatives (if not conscious) full history were taken. General
examination was conducted with calculation of different scores in the
patients including Quick Sequential Organ Failure Assessment score
and CURB-65 score. Local chest examination was conducted in all the
cases which included inspection, palpation, percussion and
auscultation.