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Arch Gen Intern Med 2017 | Volume 1 Issue 3
allied
academies
International Conference on
FAMILY MEDICINE AND FAMILY PHYSICIANS
October 16-17, 2017 | Toronto, Canada
Background & Aims:
The aim of this study is to develop a
new method that is able to accurately predicate the 28 day
hospital mortality in patients with severe community acquired
pneumonia (SCAP) at an early stage.
Methods:
We selected 37348 SCAP patients in ICU from 173
hospitals during 2011.1-2013.12.The predictive factors for 28
day hospital mortality was evaluated retrospectively. All cases
underwent intensive care, blood routine, blood biochemical
tests and arterial blood gas analysis. Under the classification
and regression tree (CART) analysis, a new clinical scoring
system was developed for early prediction in SCAP patients.
The receiver-operating characteristic (ROC) curve was plotted
to calculate the area under the receiver operating characteristic
curve (AUC).
Results:
A novel clinical model named CLCGH scoring system,
including serum creatinine (Cr)>259.5 umol/L, leukocyte
(WBC)>17.35×109/L, C-reactive protein (CRP)>189.4 ug/ml,
GCS<=9 and serumHCO3-<=17.65 mmol/L, was carried out and
each index was an independent factor for hospital mortality in
SCAP. In validation cohort, the AUC of the new scoring system
was 0.889 for prediction of hospital mortality, which was similar
to SOFA score 0.877, APACHE score 0.864, and was better than
the PSI score 0.761 and CURB-65 score 0.767.
Conclusions:
The new scoring system CLCGH is an efficient,
accurate and objective method to predicate the early hospital
mortality among SCAP patients.
Speaker Biography
Xin Wang has his expertise in evaluation and passion in improving the health and well-
being. His open and contextual evaluation based on responsive constructivists creates
new pathways for improving healthcare. He and his staff have built this CLCGH scoring
system model after years of experience and practice in research, evaluation, teaching
and administration both in hospital and education institutions. Also, he has abundant
clinical experience in clinical field especially in the area of acute abdominal disease and
physical medicine disorder. The new scoring system CLCGH is an efficient, accurate and
objective method to predicate the early hospital mortality among SCAP patients. The
CART analysis is a methodology that utilizes the previous generations of evaluation,
measurement, description and judgment. His research allows for value-pluralism. His
approach and study achievement is responsive to all stakeholders and has a different
way of focusing.
e
:wx007146@163.comXin Wang
The 4th Center Hospital, China
A newmethod to predict hospital mortality in severe community acquired
pneumonia