Identification of Risk Factors and Mortality Score Values Predicting Mortality in Pneumonia Patients Monitored in Intensive Care Units

Authors : Serpil Bayındır, Ümit Karatepe

Pages : 299-306

Doi:10.29058/mjwbs.1474909

View : 44 | Download : 72

Publication Date : 2024-12-30

Article Type : Research Paper

Abstract :Aim: Predicting the mortality risk of pneumonia patients in the intensive care unit is an important step in the treatment process. A number of scoring systems have been developed to assess the severity of patients and predict prognosis. The aim of this study was to determine the risk factors predicting mortality and mortality score values of pneumonia patients in intensive care unit in clinical prognostic evaluation. Material and Methods: It was a single-center and retrospective study. Mechanical ventilation, hemodialysis requirement, inotrope support, chest tube insertion, duration of intensive care unit stay, length of hospital stay, and 6-month mortality rates were recorded. SOFA, APACHE II and PSI, CURB-65 and I-ROAD scores were calculated. Procalcitonin, C-reactive protein, albumin, creatinine, urea and lactate values were evaluated by scoring. Results: Of the 143 patients, 94 (65.7%) were discharged (Group 1: survivors), while 49 (34.2%) died (Group 2: exitus). Urea and lactate showed a stronger correlation with mortality (p 0.05). Patients receiving inotropic support had a significantly higher risk of mortality (p<0.001), however, chest tube placement and hemodialysis did not have a statistically significant impact on mortality (p=0.943 and p=0.297, respectively). Conclusion: Receiving inotropic support, high urea, creatinine and lactate levels during hospitalization were found to be risk factors for predicting pneumonia mortality in intensive care unit patients. PSI and CURB-65 may be guiding in the prediction of mortality and selection of critical patients.
Keywords : Pnömoni, yoğun bakım, mortalite, skorlama