The Prognostic and Risk-Stratified Value of Heart-Type Fatty-Acid-Binding Protein in Community Acquired Pneumonia in Emergency Department
Joint Authors
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-16
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
To evaluate the prognostic and risk stratified ability of heart-type fatty-acid-binding protein (H-FABP) in patients with community acquired pneumonia (CAP) in emergency department (ED) and to compare it with Pneumonia Severity Index (PSI) and CURB-65.
Methods.
Consecutive adult CAP patients admitted to the ED of Beijing Chao-Yang Hospital were enrolled.
Circulating H-FABP and troponin I were measured.
PSI and CURB-65 were calculated in all patients.
The differences in 28-day mortality and requirement for mechanical ventilation (MV) or a vasopressor within 6 h after ED arrival were compared in patients with positive H-FABP (≥7 ng/mL) and negative ones (<7 ng/mL).
Receiver operating characteristic (ROC) curve and logistic regression were used to assess the predictive value of H-FABP.
Results.
From August to November 2012, 229 CAP patients were enrolled.
The 28-day mortality, PSI, CURB-65, and incidence of using MV or a vasopressor were much higher in H-FABP-positive patients than in negative ones (P<0.01).
H-FABP was an independent predictor of the 28-day mortality.
The area under the ROC curve (AUC) of H-FABP was 0.751.
Combination of H-FABP and CURB-65 (AUC = 0.824) or H-FABP and PSI (AUC = 0.820) improved their prognostic performance.
Conclusions.
H-FABP was valuable for prognosis and risk stratification in CAP patients in ED.
American Psychological Association (APA)
Chen, Yun-Xia& Li, Chun-Sheng. 2014. The Prognostic and Risk-Stratified Value of Heart-Type Fatty-Acid-Binding Protein in Community Acquired Pneumonia in Emergency Department. BioMed Research International،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-496018
Modern Language Association (MLA)
Chen, Yun-Xia& Li, Chun-Sheng. The Prognostic and Risk-Stratified Value of Heart-Type Fatty-Acid-Binding Protein in Community Acquired Pneumonia in Emergency Department. BioMed Research International No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-496018
American Medical Association (AMA)
Chen, Yun-Xia& Li, Chun-Sheng. The Prognostic and Risk-Stratified Value of Heart-Type Fatty-Acid-Binding Protein in Community Acquired Pneumonia in Emergency Department. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-496018
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-496018