کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8313516 1538677 2013 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Carboxy-terminal provasopressin may predict prognosis in nursing home acquired pneumonia
ترجمه فارسی عنوان
پراکساپرسین کاربوکسی- ترمیمی ممکن است پیش آگهی در خانه پرستاری موجب بروز پنومونی شود
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی زیست شیمی
چکیده انگلیسی
BackgroundThis study compares biomarker (including procalcitonin, pro-ANP, and copeptin) levels to pneumonia severity scores to predict 30-day mortality in NHAP (nursing home acquired pneumonia) patients.MethodsSeventy three patients aged ≥ 65 y, admitted to general hospitals and who fulfilled the definition of NHAP were included in the study. Data collected at admission included age, gender, nursing home admission, coexisting illness, symptoms and clinical parameters (blood pressure, pulse rate, respiratory rate and status). Additional data collected included laboratory results, radiographic findings and outcome variables. Severity of pneumonia was evaluated using a prediction rule calculated by CURB-65 criteria (confusion, urea nitrogen, respiratory rate, blood pressure, age > 65 y).ResultsAfter adjustment for age, sex and CURB-65, copeptin (OR = 5.60, 95% confidence interval (CI) = 1.20-26.24) was associated with 30-day mortality in NHAP patients, while procalcitonin and pro-ANP were not. The areas under the receiver operating characteristic curves (AUCs) for CURB-65, in predicting mortality were 0.685 [95% CI 0.559-0.811], whereas copeptin showed slightly superior accuracy with an AUC of 0.698 (95% CI 0.568-0.827).ConclusionsAmong 3 biomakers, copeptin was the strongest predictor of 30-day mortality from NHAP. The pathophysiologic and clinical implications of this finding require further investigation.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinica Chimica Acta - Volume 421, 5 June 2013, Pages 226-229
نویسندگان
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