Validation of modified early warning score using serum lactate level in community-acquired pneumonia patients. The National Early Warning Score-Lactate score.
DC Field | Value | Language |
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dc.contributor.author | Jo, Sion | - |
dc.contributor.author | Jeong, Taeoh | - |
dc.contributor.author | Lee, Jae Baek | - |
dc.contributor.author | Jin, Youngho | - |
dc.contributor.author | Yoon, Jaechol | - |
dc.contributor.author | Park, Bo young | - |
dc.date.accessioned | 2022-07-15T18:04:16Z | - |
dc.date.available | 2022-07-15T18:04:16Z | - |
dc.date.created | 2021-05-14 | - |
dc.date.issued | 2016-03 | - |
dc.identifier.issn | 0735-6757 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/154917 | - |
dc.description.abstract | Study objective The aim of this study was to investigate the prognostic prediction power of a newly introduced early warning score modified by serum lactate level, the National Early Warning Score–Lactate (NEWS-L) score, among community-acquired pneumonia (CAP) patients. We also compared the NEWS-L score with the pneumonia severity index (PSI) and CURB-65. Methods We designed a retrospective observational study and collected data on confirmed adult CAP patients who visited the study hospital between October 2013 and September 2014. Variables relevant to, the NEWS-L score, PSI, and CURB-65 were extracted from electronic medical records. Survival status at hospital discharge was determined in the same manner. The NEWS-L score was calculated as NEWS-L = NEWS + serum lactate level (mmol/L). The NEWS-L was divided into quartiles. The ability to predict mortality was assessed through area under the receiver operating characteristic curve analysis and calibration analysis. Results A total of 553 patients were enrolled, and the inpatient mortality rate was 10.8% (n = 60). Mortality rates increased incrementally in conjunction with the NEWS-L quartiles: first quartile, 2.2%; second quartile, 7.9%; third quartile, 9.6%; and fourth quartile, 23.9%. The area under the receiver operating characteristic curve of the NEWS-L score was 0.73 (95% confidence interval [CI], 0.66-0.80), which showed no significant difference from that of the PSI (0.68; 95% CI, 0.61-0.76; P = .28) and CURB-65 (0.66; 95% CI, 0.59-0.73; P = .06). Conclusions The newly introduced early warning score modified by serum lactate level, NEWS-L score, was comparable to PSI and CURB-65, for predicting inpatient mortality among adult CAP patients. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | W B SAUNDERS CO-ELSEVIER INC | - |
dc.title | Validation of modified early warning score using serum lactate level in community-acquired pneumonia patients. The National Early Warning Score-Lactate score. | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Park, Bo young | - |
dc.identifier.doi | 10.1016/j.ajem.2015.12.067 | - |
dc.identifier.scopusid | 2-s2.0-84955258572 | - |
dc.identifier.wosid | 000373491100034 | - |
dc.identifier.bibliographicCitation | AMERICAN JOURNAL OF EMERGENCY MEDICINE, v.34, no.3, pp.536 - 541 | - |
dc.relation.isPartOf | AMERICAN JOURNAL OF EMERGENCY MEDICINE | - |
dc.citation.title | AMERICAN JOURNAL OF EMERGENCY MEDICINE | - |
dc.citation.volume | 34 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 536 | - |
dc.citation.endPage | 541 | - |
dc.type.rims | ART | - |
dc.type.docType | 정기학술지(Article(Perspective Article포함)) | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Emergency Medicine | - |
dc.subject.keywordPlus | lactic acid | - |
dc.subject.keywordPlus | nitrogen | - |
dc.subject.keywordPlus | biological marker | - |
dc.subject.keywordPlus | lactic acid | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S0735675715011237?via%3Dihub | - |
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