[Pronostic value of C-reactive protein measure in elderly patient with acquired pneumonia: correlation with Fine's score].
The Fine's score, a predictive score of infectious pneumonia gravity, does not integrate inflammatory parameters, which are routinely used in the management of infectious pneumonia. The aim of our study was to establish a correlation between the Fine's score and C reactive protein.


METHODS
One hundred patients hospitalized for infectious pneumonia, 57 men and 43 female, with an average age of 85 years were retrospectively recorded.


RESULTS
The median level of C reactive protein was 157 mg/L. Global mortality rate was 26% and respectively 5, 16 and 45% in the grades III, IV, V of the Fine's score. Beyond 75,5 mg/L C reactive protein concentration, the mortality rate was contained between 28 and 32%. The comparison of the ROC curves of the Fine's score and C reactive protein did not showed any difference.


CONCLUSIONS
C-Reactive protein is less precise than the Fine's score to assess infectious pneumonia gravity but seems to be an indicator of the potential gravity of the pneumonia.
Gil
H
H
Service de médecine interne, CHU Jean-Minjoz, 25000 Besançon, France. hgil@chu-besancon.fr
Méaux-Ruault
N
N
Magy
N
N
Hafsaoui
C
C
Bernard
D
D
Dupond
J-L
JL
D000369:Aged, 80 and over; D002097:C-Reactive Protein / Q000032:analysis*; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D011014:Pneumonia / Q000097:blood* / Q000401:mortality*; D011379:Prognosis; D012189:Retrospective Studies; D012720:Severity of Illness Index
D002097:C-Reactive Protein