Akut Pnömoni Hastalarında LAR ve CURB-65 Skorlarının Hastaneye Yatış Kararındaki Etkinliğinin Karşılaştırılması

Abstract

maç: Bu çalışmanın amacı, akut pnömoni hastalarında hastaneye yatış gereksinimini belirlemede Laktat/Albümin Oranı (LAR) ve CURB-65 skorlama sisteminin etkinliğini değerlendirmektir. Yöntemler: Çalışmamız, 1 Şubat 2024 ile 1 Ağustos 2024 tarihleri arasında bir üçüncül hastanenin acil servisinde retrospektif olarak gerçekleştirilmiştir. Akut pnömoni tanısı konan alt solunum yolu enfeksiyonu ile başvuran hastalar çalışmaya dahil edilmiştir. Tüm hasta bilgileri elektronik tıbbi kayıtlar üzerinden toplanmıştır. Bulgular: Toplamda 77 hasta çalışmaya dahil edilmiştir; bunlardan 30'u hastaneye yatırılmıştır. Hastaların ortalama yaşı 68,8 ± 12,2 yıl olup, %46,8'i (n=36) erkektir. Acil servisten taburcu edilen, hastalar ile hastaneye yatışı yapılan hastalar karşılaştırıldığında, taburcu edilen grubun solunum hızı, BUN, laktat, CURB-65 ve LAR değerlerinin istatistiksel olarak anlamlı bir şekilde daha düşük olduğu görülmüştür (P<.05). LAR'ın sistolik kan basıncı (SKB), diastolik kan basıncı (DKB) ve pH ile negatif yönde ve istatistiksel olarak anlamlı bir korelasyonu olduğu bulunmuştur (P<.05). LAR, laktat ve CURB-65 ile pozitif yönde ve istatistiksel olarak anlamlı bir korelasyona sahipti (P<.001). Sonuç: Çalışmamız, LAR'ın akut pnömoni hastalarında hastaneye yatış gereksinimini gösteren bir belirteç olabileceğini bulmuştur. Ancak, CURB-65 skorlama sisteminin hastaneye yatışı tahmin etmede LAR'dan daha başarılı olduğu görülmüştür.

Keywords

• albumin
• emergency medicine
• lactate
• lactate/albumin ratio
• pneumonia

Comparison of the Effectiveness of LAR and CURB-65 Scores in Determining Hospitalization Decisions in Acute Pneumonia Patients

Abstract

Objective: This study aims to assess the efficiency of the Lactate/Albumin Ratio (LAR) and CURB-65 scoring in determining the need for hospitalization in acute pneumonia patients in the emergency department. Methods: Our study was conducted retrospectively in the emergency department of a tertiary hospital from 1 February, 2024, to 1 August, 2024. Patients who presented with lower respiratory tract infections and were diagnosed with acute pneumonia between 01.02.2024 and 01.08.2024 were included in our study. All patient information was collected from electronic medical records. Results: A total of 77 patients were included in the study, of which 30 were hospitalized. The mean age of the patients was 68.8 ± 12.2 years, and 46.8% (n=36) were male. When comparing patients discharged from the emergency department with those admitted to the hospital, the discharged group had lower respiratory rate, BUN, lactate, CURB-65, and LAR values, which were statistically significant (P<.05). LAR was negatively correlated and statistically significant with SBP, DBP and pH (P<.05). It was positively correlated and statistically significant with lactate and CURB-65 (P <.001). Conclusion: Our study found that the LAR may be indicative of the need for hospitalization in acute pneumonia patients. However, the CURB-65 scoring system was more successful than LAR in predicting hospitalization.

Keywords

• albumin
• emergency medicine
• lactate
• lactate/albumin ratio
• pneumonia

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