Risk Prediction Models for Mortality in Community-Acquired Pneumonia: A Systematic Review
Joint Authors
Kwok, Chun Shing
Loke, Yoon K.
Woo, Kenneth
Myint, Phyo Kyaw
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-10-21
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Background.
Several models have been developed to predict the risk of mortality in community-acquired pneumonia (CAP).
This study aims to systematically identify and evaluate the performance of published risk prediction models for CAP.
Methods.
We searched MEDLINE, EMBASE, and Cochrane library in November 2011 for initial derivation and validation studies for models which predict pneumonia mortality.
We aimed to present the comparative usefulness of their mortality prediction.
Results.
We identified 20 different published risk prediction models for mortality in CAP.
Four models relied on clinical variables that could be assessed in community settings, with the two validated models BTS1 and CRB-65 showing fairly similar balanced accuracy levels (0.77 and 0.72, resp.), while CRB-65 had AUROC of 0.78.
Nine models required laboratory tests in addition to clinical variables, and the best performance levels amongst the validated models were those of CURB and CURB-65 (balanced accuracy 0.73 and 0.71, resp.), with CURB-65 having an AUROC of 0.79.
The PSI (AUROC 0.82) was the only validated model with good discriminative ability among the four that relied on clinical, laboratorial, and radiological variables.
Conclusions.
There is no convincing evidence that other risk prediction models improve upon the well-established CURB-65 and PSI models.
American Psychological Association (APA)
Kwok, Chun Shing& Loke, Yoon K.& Woo, Kenneth& Myint, Phyo Kyaw. 2013. Risk Prediction Models for Mortality in Community-Acquired Pneumonia: A Systematic Review. BioMed Research International،Vol. 2013, no. 2013, pp.1-12.
https://search.emarefa.net/detail/BIM-1030609
Modern Language Association (MLA)
Kwok, Chun Shing…[et al.]. Risk Prediction Models for Mortality in Community-Acquired Pneumonia: A Systematic Review. BioMed Research International No. 2013 (2013), pp.1-12.
https://search.emarefa.net/detail/BIM-1030609
American Medical Association (AMA)
Kwok, Chun Shing& Loke, Yoon K.& Woo, Kenneth& Myint, Phyo Kyaw. Risk Prediction Models for Mortality in Community-Acquired Pneumonia: A Systematic Review. BioMed Research International. 2013. Vol. 2013, no. 2013, pp.1-12.
https://search.emarefa.net/detail/BIM-1030609
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1030609