Evaluación de la escala de news como factor pronóstico de severidad en pacientes mayores de 40 años hospitalizados por neumonía adquirida en la comunidad en el Hospital IESS Ceibos periodo 2020 - 2024.

Abstract

Background and objectives: Community-acquired pneumonia (CAP) constitutes a major challenge in the global medical population, being one of the main causes of morbidity and mortality. In Ecuador, bacterial pneumonia is a very common reason for hospital stay, with the elderly group being affected the most. Currently, the best scoring system is still debated. This study aimed to compare the National Early Alert Score (NEWS) and CURB 65 as predictors of mortality and ICU admission in patients with CAP to achieve appropriate management. Methodology: An observational, retrospective, cross-sectional and analytical study is carried out in patients with CAP hospitalized at the HGNG during the period of May 2020-May 2024 and NEWS scale is compared to Curb 65 to determine the best prognostic factor of severity. The data collection was carried out by reviewing medical records and laboratory tests. Results: A total of 166 patients were studied. It was determined that NEWS score was a better prognostic predictor of severity compared to the CURB 65. With males being the most affected. The average age of the patients was 76 years ±13. The most common comorbidity was Diabetes Mellitus type 2. Conclusion: It was demonstrated that NEWS scale is a better prognostic tool of mortality and admission to the ICU compared to CURB-65.