Scores to predict long-term mortality in patients with severe pneumonia still lacking

Abstract

We have read with great interest the article published by Azevedo do Carmo and colleagues [1]. The Pneumonia SHOCK score might be a useful tool for predicting mortality in patients admitted to the intensive care unit (ICU) due to pneumonia (either hospital or community acquired). Importantly, we would like to highlight the fact that the variables included in the study are easily obtained within the first 6 hours of admission, which makes the Pneumonia SHOCK easy to calculate. This new score was shown to be superior to traditional scores such as the Simplified Acute Physiology Score (SAPS) III (SAPS-III), quick-Sepsis Related Organ Failure Assessment (qSOFA), CURB-65, and CRB-65 with respect to prediction of hospital mortality.

Hemos leído con gran interés el artículo publicado por Azevedo do Carmo y colegas [ 1 ]. El puntaje Pneumonia SHOCK podría ser una herramienta útil para predecir la mortalidad en pacientes ingresados ​​en la unidad de cuidados intensivos (UCI) debido a neumonía (ya sea hospitalaria o adquirida en la comunidad). Es importante destacar que las variables incluidas en el estudio se obtienen fácilmente dentro de las primeras 6 horas de ingreso, lo que hace que el Pneumonia SHOCK sea fácil de calcular. Este nuevo puntaje demostró ser superior a los puntajes tradicionales como el Simplified Acute Physiology Score (SAPS) III (SAPS-III), quick-Sepsis Related Organ Failure Assessment (qSOFA), CURB-65 y CRB-65 con respecto a la predicción de la mortalidad hospitalaria.