TY - JOUR T1 - Scores of community acquired pneumonia for predicting intensive care admission and mortality JF - ERJ Open Research JO - erjor DO - 10.1183/23120541.RFMVC-2020.25 VL - 6 IS - suppl 4 SP - 25 AU - Lamia Shaaban AU - Mohamed Metwally AU - Eman Monazea Y1 - 2020/02/13 UR - http://openres.ersjournals.com/content/6/suppl_4/25.abstract N2 - Background: Many studies of community-acquired pneumonia (CAP) have demonstrated the importance of assessing severity of illness. The objective is to evaluate the predictive value of two prognostic scoring systems for CAP; namely, Pneumonia Severity Index (PSI) and the ‘CURB-65’Methods: A prospective study was performed including patients presenting to the chest department, Assiut University Hospital, Egypt with an admission diagnosis of CAP. Severity scores using PSI and CURB-65 scores were calculated. The predictive indexes and area under the receiver-operating characteristic (ROC) curve were compared for different outcomes (mortality and need for ICU admission).Results: 110 patients were recruited; 19 patients (17.3%) died in hospital, 27 patients (24.5%) were admitted to Respiratory ICU. Both PSI class ≥IV and CURB-65 class ≥III were specific in predicting mortality; however CURB-65 had higher sensitivity and diagnostic accuracy. The area under the ROC curve for CURB-65 class ≥III was slightly higher than that for PSI class ≥IV for the outcome of mortality. For predicting ICU admission; PSI class ≥IV was more accurate (91.8%) and had higher sensitivity and specificity than CURB-65≥ III.  The area under the ROC curve for PSI class ≥IV was higher than that for CURB-65 class ≥III(0.9 versus 0.76) for predicting ICU admission.Conclusion: both the PSI and CURB-65 are good for predicting mortality, while PSI is more accurate in predicting ICU admission.FootnotesCite this article as: ERJ Open Research 2020; 6: Suppl. 4, 25.This is an ERS Respiratory Failure and Mechanical Ventilation Conference abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only). ER -