C-reactive protein, severity of pneumonia and mortality in elderly, hospitalised patients with community-acquired pneumonia

摘要: Background: increasingly, markers of systemic inflammation like C-reactive protein (CRP) levels and white blood count (WBC) are being used for assessing the prognosis patients with community-acquired pneumonia (CAP). However, their predictive value has not been validated in populations elderly patients. Objective:toevaluatetheprognosticvalueofCRPandWBCincomparisonwiththeCURBscoreandthepneumoniaseverity index (PSI) elderly, hospitalised CAP. Methods:thechartsofallpatients,aged65yearsandolder,whowereconsecutivelyadmittedtotheDepartmentofGeriatrics, Marienhospital Herne, Germany, treatment CAP between January 2001 September 2005, were reviewed. CRP, WBC, CURB PSI analysed relation to 30-day mortality. Results: a total 391 patients, median age 80 years, no association was found CRP or WBC In contrast, score significantly associated mortality intensive care unit (ICU). Conclusion: CAP, admission predictors prognosis.