{"id":"https://openalex.org/W7204642443","doi":"https://doi.org/10.1080/00325481.2026.2726610","title":"Prognostic performance of APUA, APUA-RO 2 , and CURB-65 scores in patients with critical pneumonia","display_name":"Prognostic performance of APUA, APUA-RO 2 , and CURB-65 scores in patients with critical pneumonia","publication_year":2026,"publication_date":"2026-08-29","ids":{"openalex":"https://openalex.org/W7204642443","doi":"https://doi.org/10.1080/00325481.2026.2726610","pmid":"https://pubmed.ncbi.nlm.nih.gov/42668389"},"language":"en","primary_location":{"id":"doi:10.1080/00325481.2026.2726610","doi":"https://doi.org/10.1080/00325481.2026.2726610","is_oa":false,"landing_page_url":"https://doi.org/10.1080/00325481.2026.2726610","pdf_url":null,"source":{"id":"https://openalex.org/S11800902","display_name":"Postgraduate Medicine","issn_l":"0032-5481","issn":["0032-5481","1941-9260"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Postgraduate Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5013131955","display_name":"Serdar \u00d6zdemir","orcid":"https://orcid.org/0000-0002-6186-6110","observed_orcids":["https://orcid.org/0000-0002-6186-6110","https://orcid.org/0000-0001-6611-8472"]},"institutions":[{"id":"https://openalex.org/I4210110321","display_name":"\u00dcmraniye E\u011fitim ve Ara\u015ft\u0131rma Hastanesi","ror":"https://ror.org/023wdy559","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210110321"]},{"id":"https://openalex.org/I4210128276","display_name":"Sa\u011fl\u0131k Bilimleri \u00dcniversitesi","ror":"https://ror.org/03k7bde87","country_code":"TR","type":"education","lineage":["https://openalex.org/I4210128276"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Serdar \u00d6zdemir","raw_affiliation_strings":["University of Health Sciences \u00dcmraniye Training and Research Hospital"],"raw_orcid":"https://orcid.org/0000-0002-6186-6110","affiliations":[{"raw_affiliation_string":"University of Health Sciences \u00dcmraniye Training and Research Hospital","institution_ids":["https://openalex.org/I4210110321","https://openalex.org/I4210128276"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068912490","display_name":"\u0130brahim Altunok","orcid":"https://orcid.org/0000-0002-9312-1025","observed_orcids":["https://orcid.org/0000-0002-9312-1025"]},"institutions":[{"id":"https://openalex.org/I4210110321","display_name":"\u00dcmraniye E\u011fitim ve Ara\u015ft\u0131rma Hastanesi","ror":"https://ror.org/023wdy559","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210110321"]},{"id":"https://openalex.org/I4210128276","display_name":"Sa\u011fl\u0131k Bilimleri \u00dcniversitesi","ror":"https://ror.org/03k7bde87","country_code":"TR","type":"education","lineage":["https://openalex.org/I4210128276"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"\u0130brahim Altunok","raw_affiliation_strings":["University of Health Sciences \u00dcmraniye Training and Research Hospital"],"raw_orcid":"https://orcid.org/0000-0002-9312-1025","affiliations":[{"raw_affiliation_string":"University of Health Sciences \u00dcmraniye Training and Research Hospital","institution_ids":["https://openalex.org/I4210110321","https://openalex.org/I4210128276"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5029490037","display_name":"Merve Osoydan Sat\u0131c\u0131","orcid":"https://orcid.org/0000-0002-3169-0724","observed_orcids":["https://orcid.org/0000-0002-3169-0724"]},"institutions":[{"id":"https://openalex.org/I4210110321","display_name":"\u00dcmraniye E\u011fitim ve Ara\u015ft\u0131rma Hastanesi","ror":"https://ror.org/023wdy559","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210110321"]},{"id":"https://openalex.org/I4210128276","display_name":"Sa\u011fl\u0131k Bilimleri \u00dcniversitesi","ror":"https://ror.org/03k7bde87","country_code":"TR","type":"education","lineage":["https://openalex.org/I4210128276"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Merve Osoydan Sat\u0131c\u0131","raw_affiliation_strings":["University of Health Sciences \u00dcmraniye Training and Research Hospital"],"raw_orcid":"https://orcid.org/0000-0002-3169-0724","affiliations":[{"raw_affiliation_string":"University of Health Sciences \u00dcmraniye Training and Research Hospital","institution_ids":["https://openalex.org/I4210110321","https://openalex.org/I4210128276"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5013131955"],"corresponding_institution_ids":["https://openalex.org/I4210110321","https://openalex.org/I4210128276"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"138","issue":"7","first_page":"892","last_page":"899"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.9442999958992004,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.9442999958992004,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.047200001776218414,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10285","display_name":"Venous Thromboembolism Diagnosis and Management","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/2724","display_name":"Internal Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/curb-65-score","display_name":"CURB-65 score","score":0.9890000224113464},{"id":"https://openalex.org/keywords/community-acquired-pneumonia","display_name":"community-acquired pneumonia","score":0.9240000247955322},{"id":"https://openalex.org/keywords/30-day-mortality","display_name":"30-day mortality","score":0.8389999866485596},{"id":"https://openalex.org/keywords/prognostic-score","display_name":"prognostic score","score":0.8600000143051147},{"id":"https://openalex.org/keywords/risk-stratification","display_name":"risk stratification","score":0.7860000133514404},{"id":"https://openalex.org/keywords/emergency-department","display_name":"emergency department","score":0.7730000019073486},{"id":"https://openalex.org/keywords/intensive-care-unit-admission","display_name":"intensive care unit admission","score":0.8240000009536743},{"id":"https://openalex.org/keywords/pneumonia-severity-scores","display_name":"pneumonia severity scores","score":0.8489999771118164},{"id":"https://openalex.org/keywords/cancer","display_name":"cancer","score":0.6370000243186951},{"id":"https://openalex.org/keywords/c-reactive-protein","display_name":"C-reactive protein","score":0.8600000143051147},{"id":"https://openalex.org/keywords/lactate","display_name":"lactate","score":0.781000018119812}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9898999929428101},{"id":"https://openalex.org/C2777914695","wikidata":"https://www.wikidata.org/wiki/Q12192","display_name":"Pneumonia","level":2,"score":0.5282999873161316},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.43689998984336853},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.39309999346733093},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3522000014781952},{"id":"https://openalex.org/C2993568657","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Critical illness","level":3,"score":0.33899998664855957},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.29980000853538513},{"id":"https://openalex.org/C2993277928","wikidata":"https://www.wikidata.org/wiki/Q7248370","display_name":"Prognostic model","level":3,"score":0.28110000491142273},{"id":"https://openalex.org/C30036603","wikidata":"https://www.wikidata.org/wiki/Q17125150","display_name":"Severity of illness","level":2,"score":0.27480000257492065},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.2533999979496002}],"mesh":[{"descriptor_ui":"D000098968","descriptor_name":"Community-Acquired Pneumonia","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011014","descriptor_name":"Pneumonia","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D011014","descriptor_name":"Pneumonia","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D011379","descriptor_name":"Prognosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012372","descriptor_name":"ROC Curve","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016638","descriptor_name":"Critical Illness","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D017052","descriptor_name":"Hospital Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017714","descriptor_name":"Community-Acquired Infections","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1080/00325481.2026.2726610","doi":"https://doi.org/10.1080/00325481.2026.2726610","is_oa":false,"landing_page_url":"https://doi.org/10.1080/00325481.2026.2726610","pdf_url":null,"source":{"id":"https://openalex.org/S11800902","display_name":"Postgraduate Medicine","issn_l":"0032-5481","issn":["0032-5481","1941-9260"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Postgraduate Medicine","raw_type":"journal-article"},{"id":"pmid:42668389","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42668389","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Postgraduate medicine","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":21,"referenced_works":["https://openalex.org/W1748070847","https://openalex.org/W2061002404","https://openalex.org/W2133979383","https://openalex.org/W2169979368","https://openalex.org/W2320007293","https://openalex.org/W3092468840","https://openalex.org/W3142746240","https://openalex.org/W4281737278","https://openalex.org/W4282601070","https://openalex.org/W4300020300","https://openalex.org/W4308766716","https://openalex.org/W4309570260","https://openalex.org/W4401418151","https://openalex.org/W4401418812","https://openalex.org/W4407825044","https://openalex.org/W4408779152","https://openalex.org/W4411334304","https://openalex.org/W4412609693","https://openalex.org/W4413115563","https://openalex.org/W4413117012","https://openalex.org/W4414000815"],"related_works":["https://openalex.org/W4412609693","https://openalex.org/W4411334304","https://openalex.org/W7167345546","https://openalex.org/W3009444815","https://openalex.org/W2120729651","https://openalex.org/W4401145442","https://openalex.org/W2123039957","https://openalex.org/W1876136644","https://openalex.org/W4213305147","https://openalex.org/W6884763912"],"abstract_inverted_index":{"Background":[0],"Severe":[1],"pneumonia":[2,45,65,78,169,234,257],"requiring":[3],"intensive":[4],"care":[5],"unit":[6],"(ICU)":[7],"admission":[8,84],"is":[9,21,292],"associated":[10],"with":[11,64,76,186],"high":[12],"short-term":[13],"mortality.":[14,123],"Early":[15],"risk":[16],"stratification":[17],"in":[18,42,60,85,254],"emergency":[19,61,87],"settings":[20],"essential":[22],"to":[23,145],"guide":[24],"clinical":[25,282],"decisions.":[26],"The":[27,117],"APUA":[28],"and":[29,57,66,93,99,110,133,168,195,232],"APUA-RO2":[30,204,220,261],"scores":[31,59,112,171,181,236,245,275],"have":[32],"been":[33],"proposed":[34],"as":[35],"simplified":[36],"prognostic":[37,52,265],"tools,":[38],"but":[39,278],"their":[40],"performance":[41,53,200],"critically":[43,255,286],"ill":[44,256,287],"patients":[46,63,75],"remains":[47],"unclear.Objective":[48],"To":[49],"compare":[50],"the":[51,86,136,263],"of":[54,149,188,240],"APUA,":[55,108,191],"APUA-RO2,":[56,109,173,194],"CURB-65":[58,111],"department":[62,88],"ICU":[67,83],"indications.Methods":[68],"This":[69],"retrospective,":[70],"single-center":[71],"study":[72],"included":[73],"adult":[74],"community-acquired":[77],"who":[79],"were":[80,102,113,237],"evaluated":[81],"for":[82,190,193,197,203,250],"between":[89],"1":[90,94],"September":[91,95],"2024,":[92],"2025.":[96],"Demographic,":[97],"clinical,":[98],"laboratory":[100],"data":[101],"extracted":[103],"from":[104],"electronic":[105],"medical":[106],"records.":[107],"calculated":[114],"at":[115],"presentation.":[116],"primary":[118],"outcome":[119],"was":[120,126,143,201],"30-day":[121,252],"in-hospital":[122],"Discriminative":[124],"ability":[125,249],"assessed":[127],"using":[128],"receiver":[129],"operating":[130],"characteristic":[131],"curves":[132],"area":[134],"under":[135],"curve":[137],"(AUC)":[138],"analysis.":[139],"Multivariable":[140,227],"logistic":[141],"regression":[142],"performed":[144],"identify":[146],"independent":[147,238],"predictors":[148,239],"mortality.Results":[150],"Among":[151,259],"191":[152],"patients,":[153],"121":[154],"(63.4%)":[155],"died":[156],"within":[157],"30":[158],"days.":[159],"Non-survivors":[160],"had":[161],"higher":[162,233],"respiratory":[163],"rates,":[164],"CRP,":[165],"LDH,":[166],"creatinine,":[167],"severity":[170,235,244],"(APUA,":[172],"CURB-65;":[174],"all":[175],"p":[176],"<":[177],".001).":[178],"All":[179,242],"three":[180,243],"demonstrated":[182,246],"moderate":[183,247],"discriminative":[184,248],"performance,":[185,266],"AUCs":[187],"0.732":[189],"0.765":[192],"0.697":[196],"CURB-65.":[198],"Model":[199],"highest":[202,264],"(AUC":[205],"0.825,":[206],"sensitivity":[207],"87.6%,":[208],"specificity":[209],"55%).":[210],"Pairwise":[211],"AUC":[212],"comparisons":[213],"did":[214],"not":[215,280],"reach":[216],"statistical":[217],"significance,":[218],"although":[219,267],"showed":[221,262],"a":[222],"trend":[223],"toward":[224],"better":[225],"performance.":[226],"analysis":[228],"confirmed":[229],"that":[230],"malignancy":[231],"mortality.Conclusions":[241],"predicting":[251],"mortality":[253],"patients.":[258,288],"them,":[260],"its":[268],"overall":[269],"discrimination":[270],"remained":[271],"moderate.":[272],"Therefore,":[273],"these":[274],"may":[276],"assist,":[277],"should":[279],"replace,":[281],"judgment":[283],"when":[284],"assessing":[285],"Prospective":[289],"multicenter":[290],"validation":[291],"warranted.":[293]},"counts_by_year":[],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2026-08-30T00:00:00"}
