PT  - JOURNAL ARTICLE
AU  - Barbara Jones
AU  - Jason Jones
AU  - Al Jephson
AU  - Naresh Kumar
AU  - Ben Briggs
AU  - Caroline Vines
AU  - Todd Allen
AU  - Nathan Dean
TI  - eCURB outperforms CURB-65 and A-DROP for predicting 30-day mortality in pneumonia
DP  - 2012 Sep 01
TA  - European Respiratory Journal
PG  - P2475
VI  - 40
IP  - Suppl 56
4099  - http://erj.ersjournals.com/content/40/Suppl_56/P2475.short
4100  - http://erj.ersjournals.com/content/40/Suppl_56/P2475.full
SO  - Eur Respir J2012 Sep 01; 40
AB  - RATIONALE:Severity assessment tools that use objective data available in the electronic medical record include CURB-65, A-DROP, and eCURB, an electronic version of CURB-65 using continuous variables (Jones et al, Chest. 2011;140:156-163). Our aim was to compare eCURB, CURB-65, and A-DROP versus 30-day mortality in a contemporary, emergency department pneumonia cohort.METHODS:We identified pneumonia patients by ICD-9 code plus compatible radiograph in 7 emergency departments Dec 1, 2009-Dec 1, 2010. Patients with community-acquired pneumonia (CAP) and health-care acquired pneumonia (HCAP) were identified. We extracted initial clinical features and triage information from the electronic medical record. We determined mortality from the Utah Population Database. Receiver operator characteristic (ROC) analysis of mortality was compared.RESULTS:We studied 2394 patients. 30-day mortality was 3.5% for 2061 patients with CAP and 16.2% for 333 patients with HCAP. The table shows areas under the curve (AUC) versus 30-day mortality.View this table:30-day Mortality AUC.CONCLUSION:eCURB outperformed CURB-65 and A-DROP for mortality prediction in patients with CAP. For HCAP patients, all mortality predictors performed poorly.