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The ventilator-associated pneumonia piro score* a tool for predicting icu mortality and health-care resources use in ventilator-associated pneumonia.
| Content Provider | CiteSeerX |
|---|---|
| Author | Lisboa, Thiago Socias, Antonia Md, Alejandro RodrÃguez Rello, Jordi |
| Abstract | Background: No score is available to assess severity and stratify mortality risk in ventilator-associated pneumonia (VAP). Our objective was to develop a severity assessment tool for VAP patients. Methods: A prospective, observational, cohort study was performed including 441 patients with VAP in three multidisciplinary ICUs. Multivariate logistic regression was performed to identify variables independently associated with ICU mortality. Results were converted into a four-variable score based on the PIRO (predisposition, insult, response, organ dysfunction) concept for ICU mortality risk stratification in VAP patients. Results: Comorbidities (COPD, immunocompromise, heart failure, cirrhosis, or chronic renal failure); bacteremia; systolic BP< 90 mmHg; and ARDS. A simple, four-variable VAP PIRO score was obtained at VAP onset. Mortality varied significantly according to VAP PIRO score (p < 0.001). On the basis of observed mortality for each VAP PIRO score, patients were stratified |
| File Format | |
| Access Restriction | Open |
| Subject Keyword | Icu Mortality Ventilator-associated Pneumonia Health-care Resource Use Ventilator-associated Pneumonia Piro Score Tool Vap Patient Vap Piro Score Cohort Study Mortality Risk Four-variable Vap Piro Score Icu Mortality Risk Stratification Multidisciplinary Icu Systolic Bp Multivariate Logistic Regression Heart Failure Organ Dysfunction Four-variable Score Observed Mortality Severity Assessment Tool Chronic Renal Failure Vap Onset |
| Content Type | Text |
