Head and Neck Imaging

Relationship Between Cell Distribution width, CURB Score and Severity of ICU Pneumonia

Author:ZENG Guo-zhi, MENG Guo-huang

affiliation:Department of Clinical Laboratory, Gaozhou Hospital of Traditional Chinese Medicine, Gaozhou 525200, Guangdong Province, China

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Abstract

Objective To explore and analyze the relationship between cell distribution width, CURB score and severity of ICU pneumonia. Methods A total of 120 patients with ICU pneumonia in our hospital from April 2017 to May 2018 were selected. According to the criteria of severe pneumonia issued by the Infectious Disease Society of America/American Thoracic Society, the patients were divided into severe pneumonia group(n=58) and non-severe pneumonia group (n=62). The predictive value of cell distribution width(RDW) and CURB score on the severity of diseasewas analyzed. Results The RDW level and CURB score in severe pneumonia group were significantly higher than those in control group(P<0.05). ROC curve analysis was performed on RDW level and CURB score in ICU patients, and the area under the ROC curve was 0.845 (95% CI 0.773-0.916) of RDW, 0.912 (95% CI 0.863-0.961) of CURB and 0.956 (95% CI 0.922-0.989) of combined diagnosis. Conclusion RDW level and CURB score can be used to judge the severity of ICU pneumonia, and they have higher application value.

【Keyword】Cell Distribution Width; CURB Score; Pneumonia; Disease Severity

【Chart number】R563.1

【Document Identification Number】A

【DOI】10.3969/j.issn.1009-3257.2019.03.021