[The predictive value of three scales on ventilatory pattern choice in patients with severe community-acquired pneumonia].
OBJECTIVE
To evaluate the predictive value of three scales, including SMAT-COP, CURB-65 and the minor criteria for severe community-acquired pneumonia (CAP) proposed by IDSA/ATS, on the ventilatory pattern choice in patients with severe community-acquired pneumonia.


METHODS
The scores of the three scales were calculated in 98 patients with severe CAP with the admission data, and compared between the non-invasive ventilation group and invasive ventilation group.


RESULTS
There were significant differences in SMAT-COP, CURB-65 and IDSA/ATS minor criteria between non-invasive ventilation group and invasive ventilation group (P < 0.05). The area under the ROC curve indicated that SMAT-COP had better predictive values than CURB-65 and IDSA/ATS minor criteria (P < 0.05). But there was no significant difference between CURB-65 and IDSA/ATS minor criteria (P > 0.05).


CONCLUSIONS
The three scales all have predictive values on ventilatory pattern choice in patients with severe CAP. SMART-COP has better predictive values than the other two.
Wei
Wei
W
Emergency Department, West China Hospital, Sichuan University, Chengdu 610041, China.
Chen
Chuan-Xi
CX
Cao
Yu
Y
D000368:Aged; D000369:Aged, 80 and over; D002681:China / Q000453:epidemiology; D017714:Community-Acquired Infections / Q000175:diagnosis*; D004812:Epidemiologic Methods; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012121:Respiration, Artificial / Q000379:methods; D012189:Retrospective Studies; D012720:Severity of Illness Index