Comparison of NEWS2 and PSI as mortality predictors in patients with community acquired pneumonia

Authors

  • Neelam Kumari Jinnah Postgraduate Medical Centre, Karachi, Pakistan
  • Nausheen Saifullah Jinnah Postgraduate Medical Centre, Karachi, Pakistan
  • Saira Jafri Jinnah Postgraduate Medical Centre, Karachi, Pakistan
  • Aziz Ahmed Jinnah Postgraduate Medical Centre, Karachi, Pakistan
  • Nadia Jawad Jinnah Postgraduate Medical Centre, Karachi, Pakistan
  • Naseem Ahmed Jinnah Postgraduate Medical Centre, Karachi, Pakistan

DOI:

https://doi.org/10.47391/JPMA.10031

Keywords:

Community acquired pneumonia, Mortality predictor, NEWS2, PSI

Abstract

In the West, National Early Warning Score 2 (NEWS2) is commonly applied to predict the severity of illness using only bedside variables unlike the extensive Pneumonia Severity Index (PSI). The objective of this study was to compare these scores as mortality predictors in patients admitted with community acquired pneumonia (CAP). This cross-sectional study was conducted in Jinnah Postgraduate Medical Centre, Karachi, Pakistan, for six months in 2020 on 116 patients presenting with CAP. Cases of aspiration pneumonia, hospital acquired pneumonia, pulmonary tuberculosis, pulmonary embolism, and pulmonary oedema were excluded. In-hospital mortality was taken as the outcome of this study. The mean age of the participants was 46.9±20.5 years. The in-hospital mortalities were 45(38.8%). NEWS2 was 97.8% sensitive but only 15.5% specific in predicting the outcome, whereas PSI was less sensitive (68.9%) but more specific (50.7%), which showed that in comparison with PSI,

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Published

2024-05-24

How to Cite

Kumari, N., Saifullah, N., Jafri, S., Ahmed, A., Jawad, N., & Ahmed, N. (2024). Comparison of NEWS2 and PSI as mortality predictors in patients with community acquired pneumonia. Journal of the Pakistan Medical Association, 74(6), 1156–1159. https://doi.org/10.47391/JPMA.10031

Issue

Section

Short Communication

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