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Utility of fine severity score for pneumonia in predicting the duration of hospital stay in patients with community acquired pneumonia



Utility of fine severity score for pneumonia in predicting the duration of hospital stay in patients with community acquired pneumonia



Abstracts of the Interscience Conference on Antimicrobial Agents & Chemotherapy 43: 426



Background: Fine score is a very useful tool in assessing the severity of CAP and correlates with poorest prognosis but its role predicting the duration of in-hospital stay has not been fully established. We evaluate the utility of Fine score in predict the length of hospital stays in patients with CAP. Patients and Methods: During a six month period, all the patients admitted in our hospital with CAP were prospectively evaluated. Initial evaluation included clinical and analytical parameters at admittance. After discharge, clinical records during the stay were reviewed. For the statistical analysis of the data ANOVA, Student t test, univariate variance and logistic regression analysis were performed. Results: Ninety patients were evaluated during the period of study. The general characteristics of patients with CAP are summarized. Mean stay was 8,1 days (2-21). When an univariate analysis was done, a longer hospital stay was significantly associated with pneumococcal infection, and initial Fine group III-V. In the multivariate analysis Fine score was the only factor that maintained statistical significance. Global mortality was 5.5%. Fine score was also statistically related with mortality. Conclusions: Fine score accurately predicts the length of hospital stay in patients with CAP.

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