title: [Pronostic value of C-reactive protein measure in elderly patient with acquired pneumonia: correlation with Fine's score].
abstract: 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.
authors.affiliation: Service de médecine interne, CHU Jean-Minjoz, 25000 Besançon, France. hgil@chu-besancon.fr
authors.forename: H
authors.initials: H
authors.lastname: Gil
authors.forename: N
authors.initials: N
authors.lastname: Méaux-Ruault
authors.forename: N
authors.initials: N
authors.lastname: Magy
authors.forename: C
authors.initials: C
authors.lastname: Hafsaoui
authors.forename: D
authors.initials: D
authors.lastname: Bernard
authors.forename: J-L
authors.initials: JL
authors.lastname: Dupond
mesh_terms: 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
chemical_list: D002097:C-Reactive Protein