Predicting Mortality in Patients with Ventilator-Associated Pneumonia: The APACHE II Score versus the New IBMP-10 Score

Background. Ventilator-associated pneumonia (VAP) is the leading cause of mortality associated with nosocomial infection. The Acute Physiology and Chronic Health Evaluation II (APACHE II) score at the time of diagnosis of VAP is considered the best scoring system to predict mortality in patients wit...

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Bibliographic Details
Published in:Clinical infectious diseases 2009-07, Vol.49 (1), p.72-77
Main Authors: Mirsaeidi, Mehdi, Peyrani, Paula, Ramirez, Julio A.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
APACHE
Articles and Commentaries
Biological and medical sciences
Blood pressure
Critical care
Cross Infection - diagnosis
Cross Infection - mortality
Female
General aspects
Health outcomes
Hematocrit
Human infectious diseases. Experimental studies and models
Humans
Infectious diseases
Male
Medical practice
Medical sciences
Medical tests
Middle Aged
Mortality
Nosocomial infections
Physiology
Pneumology
Pneumonia
Pneumonia, Ventilator-Associated - diagnosis
Pneumonia, Ventilator-Associated - mortality
Prognosis
Respiratory system : syndromes and miscellaneous diseases
Severity of Illness Index
Studies
Ventilator associated pneumonia
Ventilators
Young Adult
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Summary:Background. Ventilator-associated pneumonia (VAP) is the leading cause of mortality associated with nosocomial infection. The Acute Physiology and Chronic Health Evaluation II (APACHE II) score at the time of diagnosis of VAP is considered the best scoring system to predict mortality in patients with VAP. The objective of this study was to develop a simple score to predict mortality in patients with VAP and to compare its results with those for the APACHE II scoring system. Methods. The new score was developed by performing a univariate analysis of data collected from 178 patients with VAP. The mortality prediction ability of the new score was compared with the APACHE II score on the basis of receiver operating characteristic curve analysis. Results. The IBMP-10 score assigned 1 point to each of the following variables: (1) the presence of i mmunodeficiency; (2) b lood pressure
ISSN:1058-4838
1537-6591
DOI:10.1086/599349