TY - JOUR T1 - Usefulness of shock index predictive value in mortality assessment in community acquired pneumonia JF - European Respiratory Journal JO - Eur Respir J VL - 42 IS - Suppl 57 SP - P2751 AU - Marina Roksandic Milenkovic AU - Marija Mitic Milikic AU - Dragana Jovanovic AU - Mihailo Stjepanovic AU - Natalija Samardzic AU - Vladislav Milenkovic AU - Milan Grujic Y1 - 2013/09/01 UR - http://erj.ersjournals.com/content/42/Suppl_57/P2751.abstract N2 - Introduction: Community acquired pneumonia (CAP) is one of the most common cause of morbidity and mortality. Initial estimation of disease severity and mortality risk is imortant for patient management. Shock index (SI) has been shown to be associated with outcome in mortality in CAP.Aim of this work was to estimate usefulness of SI regarding to mortality risk in CAP, and comparison of its predictive value to PSI, CURB, CURB-65, CRB-65 and ADROP scoring systems.Methods: Study was done at Clinic for Pulmonology, Belgrade, in 116 consecutive hospitalized patients with an admission diagnosis of CAP, which were categorized into PSI, CURB, CURB-65, CRB-65, A-DROP risk classis. SI was calculated for each patient.Results: Study included 73 men and 43 women. Age range was 21-88 years. The patient’s rates with PSI risk classis I, II, III, IV and V were 14%, 16%, 28%, 30%, 12% respectively. Using CURB index rates were 34%, 46%, 13%, 5% and 2% for scores 0, 1, 2, 3, 4 respectively. CURB-65 shows 25%, 32%, 34%, 6%, 2% and 1% with score 0, 1, 2, 3, 4 and 5 respectively. Patients rates for CRB-65 scores 0, 1, 2, 3 and 4 were 43%, 44%, 9%, 3%, 1% respectively. The patients rates for A-DROP system were 21%, 31%, 32%, 13%, 2%, 1% for scores 0, 1, 2, 3, 4, 5 respectively. SI ≤1 was in 84% of patients, and 16% of them had SI>1. 16 patients (14%) were died, 13 of them had SI>1.Conclusions: SI had high predictive value in mortality risk. SI shows most similar results as ADROP system. SI is very useful for quick estimation of mortality risk in CAP. ER -