Prognostic value of MuLBSTA score based on clinical characteristics for viral pneumonia
Objective To evaluate the prognostic value of MuLBSTA score based on clinical characteristics for viral pneumonia.Methods A retrospective analysis was conducted on patients who were discharged from Fuzhou Pulmonary Hospital of Fujian between January 1,2013 and December 31,2022 and were diagnosed as viral pneumonia.The Pneumonia Severity Index(PSI),CURB-65(C for consciousness,U for blood urea nitrogen,R for respiratory rate,B for blood pressure,65 for age),and MuLBSTA scores were calculated and stratified.The differences in ICU admission and mortality rate among patients with different grades were compared,and the corresponding receiver operating characteristic curve(ROC)was drawn to analyze the predictive values of the three scores to death.Analysis of variance,rank sum test,and x2 test were used.Results A total of 137 patients were enrolled in this study,including 88 males and 49 females,aged 19-93 years.There were 69 cases of COVID-19,50 cases of influenza A viral pneumonia,18 cases of human infection with H7N9 avian influenza pneumonia,with 71 cases of severe illness(51.82％),22 cases(16.06％)admitted to ICU,and 15 cases of death(10.95％).The hierarchical analysis of PSI,CURB-65,and MuLBSTA scores for patients admitted to ICU and mortality rate showed that there were statistically significant differences(all P＜0.05).The higher the risk of scoring,the higher the proportions of admission to ICU and death from illness.However,only CURB-65 and MuLBSTA scores predicted death in patients with viral pneumonia.The area under the curve of MuLBSTA was 0.750,the diagnostic specificity was 100.00％,the accuracy was 60.55％,and the cutoff value was 7.5.Conclusion The MuLBSTA score can be used for prognostic evaluation of viral pneumonia,which is simple and easy to memorize,and is suitable for promotion in outpatient and grassroots hospitals.
万方数据
维普
