| Objective To investigate the clinical values of qSOFA and CURB-65 scores in predicting the prognosis of community-acquired pneumonia patients in the emergency department. Methods A total of 312 community-acquired pneumonia patients were selected from the Emergency Department of our hospital from June 2016 to October 2019.According to the outcome of hospitalization,they were divided into thenon-death group(262 cases) and the death group(50 cases);the severe community acquired pneumonia group(109 cases) and the non-severe community acquired pneumonia group(203 cases),according to the severity of pneumonia. Using severe CAP and death as poor prognostic indicators, the predictive efficacy of qSOFA and CURB-65 scores was analyzed by receiver operating characteristic curve, and the predictive performance of qSOFA scoring scale was improved and optimized. Results The predicted AUC values of qSOFA score, CURB-65 score and Age-Lac-qSOFA score was 0.856, 0.860 and 0.956, respectively, their specificity was 92.00%,97.04% and 91.52%,respectively, and the sensitivity was 49.80%, 38.14% and 83.45%, respectively. The predicted AUC value of severe CAP was 0.835,0.846 and 0.958, respectively,the specificity was 89.80%,83.24% and 97.15%, respectively, and the sensitivity was 58.14%,70.30% and 79.89%, respectively. Conclusions There is no statistical difference in comparing CURB-65 score and qSOFA score in emergency severe CAP and death prognosis prediction.The optimized Age-Lac-qSOFA score improves the prediction efficiency of severe CAP and death prognosis with higher sensitivity. |
