Comparison of the Effectiveness of LAR and CURB-65 Scores in Determining Hospitalization Decisions in Acute Pneumonia Patients
Özet
Objective: This study aims to assess the efficiency of the Lactate/Albumin Ratio (LAR) and CURB‐
65 scoring in determining the need for hospitalization in acute pneumonia patients in the
emergency department.
Methods: Our study was conducted retrospectively in the emergency department of a tertiary
hospital from 1 February, 2024, to 1 August, 2024. Patients who presented with lower respiratory
tract infections and were diagnosed with acute pneumonia between 01.02.2024 and 01.08.2024
were included in our study. All patient information was collected from electronic medical records.
Results: A total of 77 patients were included in the study, of which 30 were hospitalized. The mean
age of the patients was 68.8 ± 12.2 years, and 46.8% (n=36) were male. When comparing patients
discharged from the emergency department with those admitted to the hospital, the discharged
group had lower respiratory rate, BUN, lactate, CURB‐65, and LAR values, which were statistically
significant (P<.05). LAR was negatively correlated and statistically significant with SBP, DBP and pH
(P<.05). It was positively correlated and statistically significant with lactate and CURB‐65 (P <.001).
Conclusion: Our study found that the LAR may be indicative of the need for hospitalization in acute
pneumonia patients. However, the CURB‐65 scoring system was more successful than LAR in
predicting hospitalization.
Keywords: Albumin, emergency medicine, lactate, lactate/albumin ratio, pneumonia,
Atıf için künye
Tortum, F. (2024). Comparison of the Effectiveness of LAR and CURB-65 Scores in Determining Hospitalization Decisions in Acute Pneumonia Patients. atatürk üniversitesi cerrahi tıp bilimleri dergisi, 3(3), 97–102. https://doi.org/10.61745/jsmsau.1578115
BibTeX
@article{tortum2024-245432,
author = {Tortum, Fatma},
title = {Comparison of the Effectiveness of LAR and CURB-65 Scores in Determining Hospitalization Decisions in Acute Pneumonia Patients},
journal = {atatürk üniversitesi cerrahi tıp bilimleri dergisi},
year = {2024},
volume = {3},
number = {3},
pages = {97--102},
issn = {2822-3519},
doi = {10.61745/jsmsau.1578115},
url = {https://akademik.atauni.edu.tr/yayinlar/245432-comparison-of-the-effectiveness-of-lar-and-curb-65-scores-in-determining}
}