Research Article

Comparison between the Severity Scoring Systems A-DROP and CURB-65 for Predicting Safe Discharge from the Emergency Department in Patients with Community-Acquired Pneumonia

Table 1

Baseline characteristics and outcome measures in patients with community-acquired pneumonia.

Baseline characteristics and outcome measuresN = 40830-day mortality, N = 6Revisit within 72 hours, N = 29

Baseline characteristics
Male, N (%)214 (52.5)3 (50.0)17 (58.6)
Female, N (%)194 (47.5)3 (50.0)12 (41.4)
Age (years)
 Mean (SD)67.9 (17.9)83.3 (12.5)74.1 (15.1)
 Median (IQR)71 (58–81)80 (78–94)77 (63–84)
 Age ≥65 years, N (%)253 (62.0)6 (100.0)21 (72.4)
 Male ≥70 years and female ≥75 years, N (%)198 (48.5)5 (83.3)18 (62.1)
Comorbidities, N (%)
 Neoplastic disease36 (10.9)2 (33.3)2 (6.9)
 Chronic lung disease82 (24.8)3 (50.0)4 (13.8)
 Congestive heart failure6 (1.8)0 (0)2 (6.9)
 Chronic renal disease40 (12.1)1 (16.7)7 (24.1)
 Chronic liver disease20 (6.1)1 (16.7)3 (10.3)
 CNS disorder82 (24.8)3 (50.0)10 (34.5)
 Diabetes88 (26.7)1 (16.7)8 (27.6)
Clinical parameters, N (%)
 Orientation disturbance (confusion)10 (2.5)0 (0)2 (6.9)
 Systolic blood pressure <90 mm Hg. or diastolic blood pressure ≤60 mm Hg59 (14.5)1 (16.7)3 (10.3)
 Pulse rate ≥125 bpm14 (3.4)0 (0)1 (3.5)
 Respiratory rate ≥30 BPM103 (25.2)5 (83.3)14 (48.3)
 SaO2 ≤ 90% (or PaO2 ≤ 60 mmHg)28 (6.9)1 (16.7)6 (20.7)
Laboratory findings, N (%)
 BUN >20 mg/dL97 (23.8)4 (66.7)10 (34.5)
 BUN ≥21 mg/dL89 (21.8)4 (60.7)9 (31.0)
Radiographical findings, N (%)
 Bilateral lung involvement ≥ two zones involved‡26 (6.4)0 (0)4 (13.8)
Use of antibiotics within the previous 90 days, n (%)43 (10.5)0 (0)2 (6.9)

Outcome measures
Recovery, N (%)379 (92.9)
Revisit within 72 hours, N (%)29 (7.1)
 Discharged18 (62.1)
 Discharged then died within 30 days1 (3.4)
 Admitted10 (34.5)
 Admitted then died within 30 days3 (10.4)
30-day mortality, N (%)6 (1.5)

The lungs are divided into five zones: right and left upper, right and left lower, and right middle zones. Abbreviations: BPM, breaths per minute; bpm, beats per minute; BUN, blood urea nitrogen; CNS, central nervous system; IQR, interquartile range; SD, standard deviation.