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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Objective: This study examined the predictive value of the initial procalcitonin level for bacteremia in patients with pneumonia in the emergency department (ED). Methods: This study was a single-center, retrospective study conducted from January 2016 to June 2018. The serum procalcitonin and blood cultures were obtained from adult patients with pneumonia in the ED. The patients were categorized into either the bacteremia group or non-bacteremia group, according to the results of the blood cultures. The procalcitonin level in the bacteremia group and non-bacteremia group was compared. The area under the receiver operating curve (AUROC) of procalcitonin was calculated to predict bacteremia. Results: A total of 934 patients were analyzed. Of the eligible patients, 902 patients (96.6%) and 32 patients (3.4%) were assigned to the non-bacteremia group and bacteremia group, respectively. The procalcitonin level was significantly higher in the bacteremia group than the non-bacteremia group (5.06 ng/mL; interquartile range [IQR], 1.88-15.78 vs. 0.29 ng/mL; IQR, 0.12-1.01: P<0.001). The AUROC of procalcitonin was 0.819 (95% confidence interval, 0.734-0.904). Conclusion: The initial procalcitonin level might be useful for predicting bacteremia in patients with pneumonia in the ED.
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참고문헌 (25)
참고문헌 신청
Self WH / 2013 / Rates of emergency department visits due to pneumonia in the United States, July 2006-June 2009 / Acad Emerg Med 20:957~960
Thomas CP / 2012 / Incidence and cost of pneumonia in medicare beneficiaries / Chest 142:973~981
Johnstone J / 2008 / Long-term morbidity and mortality after hospitalization with community-acquired pneumonia: a population-based cohort study / Medicine(Baltimore) 87:329~334
Makam AN / 2014 / Blood culture use in the emergency department in patients hospitalized for community-acquired pneumonia / JAMA Intern Med 174:803~806
Lee JH / 2016 / Predictive factors of true bacteremia and the clinical utility of blood cultures as a prognostic tool in patients with community-onset pneumonia / Medicine (Baltimore) 95:e5058
Thomas CP / 2012 / Incidence and cost of pneumonia in medicare beneficiaries / Chest 142:973~981
Johnstone J / 2008 / Long-term morbidity and mortality after hospitalization with community-acquired pneumonia: a population-based cohort study / Medicine(Baltimore) 87:329~334
Makam AN / 2014 / Blood culture use in the emergency department in patients hospitalized for community-acquired pneumonia / JAMA Intern Med 174:803~806
Lee JH / 2016 / Predictive factors of true bacteremia and the clinical utility of blood cultures as a prognostic tool in patients with community-onset pneumonia / Medicine (Baltimore) 95:e5058
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