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Volume 7 Issue 7 (July, 2019)

Original Articles

To determine CURB 65, CRP level and PSI score in patients of pneumonia- A clinical study
Mangat Ram Passi, Gautam Gupta, Akhilesh Chauhan

Background: Community acquired pneumonia (CAP) is a common disorder with an incidence of about 20% to 30%. The present study was conducted to determine CURB 65, CRP level and PSI score in patients of pneumonia. Materials & Methods: The present study was conducted on 100 patients of pneumonia of both genders. A complete case history and thorough clinical examination was performed. CURB 65 and PSI score was determined within 48 hours of admission. hSCRP level was assessed with ELISA which was repeated on 5th and 7th day. Results: Age group <20 years had 12, 21-30 years had 13, 31-40 had 16, 41-50 had 12, 51-60 had 18 and >60 years had 24 patients. Out of 100 patients, males were 64 and females were 36. 88 patients were conscious while 12 were confused. The difference was significant (P< 0.05). On day 1, minimum hsCRP 1 level was 65.32 which increased to 98.9 on 5th- 7th day. hsCRP 2 was 10.2 on day 1 which increased to 99.9 on 5th – 7th day. Out of all PSI class, IV exhibited 2 deaths and V had 1 death. The difference was significant (P< 0.05). CURB class III had 1, IV had 1 and V had 1 death. The difference was significant (P< 0.05). Conclusion: CURB 65 is easiest to remember and apply although it is less accurate, it appears superior when quicker decisions are required. PSI is also accurate scoring system in predicting morbidity in terms of requirement of ICU admission.
Key words: CURB 65, PSI, Pneumonia, hsCRP.

Received: 13 March, 2019                                         Revised:  22 April 2019                             Accepted: 25 April 2019
                        
Corresponding author: Dr. Gautam Gupta , Department of Medicine, Assistant Professor, Department of Medicine, Muzaffarnagar Medical College Muzaffarnagar, Uttar Pradesh, India;
               
This article may be cited as: Passi MR, Gupta G, Chauhan A. To determine CURB 65, CRP level and PSI score in patients of pneumonia- A clinical study. J Adv Med Dent Scie Res 2019;7(7): 156-159.

 
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