{"id":"https://openalex.org/W7225728335","doi":"https://doi.org/10.18621/eurj.1370","title":"A 4-Domain Composite PCMR Score for Risk Stratification in Community-Acquired Pneumonia: A Single-Center Pilot Study","display_name":"A 4-Domain Composite PCMR Score for Risk Stratification in Community-Acquired Pneumonia: A Single-Center Pilot Study","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225728335","doi":"https://doi.org/10.18621/eurj.1370"},"language":"en","primary_location":{"id":"doi:10.18621/eurj.1370","doi":"https://doi.org/10.18621/eurj.1370","is_oa":true,"landing_page_url":"https://doi.org/10.18621/eurj.1370","pdf_url":null,"source":{"id":"https://openalex.org/S2764502452","display_name":"The European Research Journal","issn_l":"2149-3189","issn":["2149-3189"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["tr-dizin"],"host_organization":"https://openalex.org/P4310318383","host_organization_name":"Turkish Online Journal of Qualitative Inquiry (TOJQI)","host_organization_lineage":["https://openalex.org/P4310318383"],"host_organization_lineage_names":["Turkish Online Journal of Qualitative Inquiry (TOJQI)"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The European Research Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.18621/eurj.1370","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071550016","display_name":"Mete Tu\u011fcan \u00dc\u00e7dal","orcid":"https://orcid.org/0000-0002-2321-2642","observed_orcids":["https://orcid.org/0000-0002-2321-2642","https://orcid.org/0009-0002-1763-5857"]},"institutions":[{"id":"https://openalex.org/I4210166043","display_name":"Etimesgut Asker Hastanesi","ror":"https://ror.org/04kt0yt69","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210166043"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Mete Tu\u011fcan Ucdal","raw_affiliation_strings":["Department of Internal Medicine, Etimesgut \u015eehit Sait Ert\u00fcrk State Hospital, Ankara, T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0000-0002-2321-2642","affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Etimesgut \u015eehit Sait Ert\u00fcrk State Hospital, Ankara, T\u00fcrkiye","institution_ids":["https://openalex.org/I4210166043"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054574683","display_name":"G\u00fcliz Evik","orcid":"https://orcid.org/0000-0003-2125-3536","observed_orcids":["https://orcid.org/0000-0003-2125-3536"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"G\u00fcliz Evik","raw_affiliation_strings":["Department of Infectious Diseases, Etimesgut \u015eehit Sait Ert\u00fcrk State Hospital, Ankara, T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0000-0003-2125-3536","affiliations":[{"raw_affiliation_string":"Department of Infectious Diseases, Etimesgut \u015eehit Sait Ert\u00fcrk State Hospital, Ankara, T\u00fcrkiye","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120482360","display_name":"Melike Elif Celik","orcid":"https://orcid.org/0000-0002-5405-0084","observed_orcids":["https://orcid.org/0000-0002-5405-0084"]},"institutions":[{"id":"https://openalex.org/I4210166043","display_name":"Etimesgut Asker Hastanesi","ror":"https://ror.org/04kt0yt69","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210166043"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Melike Elif Celik","raw_affiliation_strings":["Department of Internal Medicine, Etimesgut \u015eehit Sait Ert\u00fcrk State Hospital, Ankara, T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0009-0003-9606-7065","affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Etimesgut \u015eehit Sait Ert\u00fcrk State Hospital, Ankara, T\u00fcrkiye","institution_ids":["https://openalex.org/I4210166043"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120390298","display_name":"Saniye Beyza Kuru","orcid":"https://orcid.org/0009-0008-7614-2730","observed_orcids":["https://orcid.org/0009-0008-7614-2730"]},"institutions":[{"id":"https://openalex.org/I4210166043","display_name":"Etimesgut Asker Hastanesi","ror":"https://ror.org/04kt0yt69","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210166043"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Saniye Beyza Kuru","raw_affiliation_strings":["Department of Internal Medicine, Etimesgut \u015eehit Sait Ert\u00fcrk State Hospital, Ankara, T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0009-0008-7614-2730","affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Etimesgut \u015eehit Sait Ert\u00fcrk State Hospital, Ankara, T\u00fcrkiye","institution_ids":["https://openalex.org/I4210166043"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5134687239","display_name":"Ebru Aykan Mavigoz","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ebru Aykan Mavigoz","raw_affiliation_strings":["Department of Pulmonology and Critical Care, Etimesgut \u015eehit Sait Ert\u00fcrk State Hospital, Ankara, T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0000-0001-7870-2297","affiliations":[{"raw_affiliation_string":"Department of Pulmonology and Critical Care, Etimesgut \u015eehit Sait Ert\u00fcrk State Hospital, Ankara, T\u00fcrkiye","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"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":null,"issue":null,"first_page":"1","last_page":"12"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.9545999765396118,"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":0.9545999765396118,"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":0.031099999323487282,"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/T11355","display_name":"Inflammatory Biomarkers in Disease Prognosis","score":0.006300000008195639,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9373000264167786},{"id":"https://openalex.org/C2778314733","wikidata":"https://www.wikidata.org/wiki/Q6639737","display_name":"Pneumonia severity index","level":4,"score":0.6482999920845032},{"id":"https://openalex.org/C2777914695","wikidata":"https://www.wikidata.org/wiki/Q12192","display_name":"Pneumonia","level":2,"score":0.6445000171661377},{"id":"https://openalex.org/C43346845","wikidata":"https://www.wikidata.org/wiki/Q8057732","display_name":"Youden's J statistic","level":3,"score":0.5440000295639038},{"id":"https://openalex.org/C58471807","wikidata":"https://www.wikidata.org/wiki/Q327120","display_name":"Receiver operating characteristic","level":2,"score":0.5435000061988831},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5026000142097473},{"id":"https://openalex.org/C76318530","wikidata":"https://www.wikidata.org/wiki/Q16833590","display_name":"Area under the curve","level":2,"score":0.44850000739097595},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.43619999289512634},{"id":"https://openalex.org/C30036603","wikidata":"https://www.wikidata.org/wiki/Q17125150","display_name":"Severity of illness","level":2,"score":0.4311000108718872},{"id":"https://openalex.org/C68443243","wikidata":"https://www.wikidata.org/wiki/Q2786686","display_name":"Quartile","level":3,"score":0.41200000047683716},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.3815000057220459},{"id":"https://openalex.org/C198433322","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value of tests","level":2,"score":0.36800000071525574},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.3483000099658966},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.34769999980926514},{"id":"https://openalex.org/C2777465075","wikidata":"https://www.wikidata.org/wiki/Q7392039","display_name":"SOFA score","level":3,"score":0.3197999894618988},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3125},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.29989999532699585},{"id":"https://openalex.org/C51915194","wikidata":"https://www.wikidata.org/wiki/Q17075487","display_name":"Point of care","level":2,"score":0.2985000014305115},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.2903999984264374},{"id":"https://openalex.org/C207386681","wikidata":"https://www.wikidata.org/wiki/Q451323","display_name":"Derivation","level":3,"score":0.28839999437332153},{"id":"https://openalex.org/C3020404979","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk stratification","level":2,"score":0.28700000047683716},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.27149999141693115},{"id":"https://openalex.org/C77350462","wikidata":"https://www.wikidata.org/wiki/Q1125472","display_name":"Confounding","level":2,"score":0.26919999718666077},{"id":"https://openalex.org/C203092338","wikidata":"https://www.wikidata.org/wiki/Q1340863","display_name":"Clinical endpoint","level":3,"score":0.25940001010894775}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.18621/eurj.1370","doi":"https://doi.org/10.18621/eurj.1370","is_oa":true,"landing_page_url":"https://doi.org/10.18621/eurj.1370","pdf_url":null,"source":{"id":"https://openalex.org/S2764502452","display_name":"The European Research Journal","issn_l":"2149-3189","issn":["2149-3189"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["tr-dizin"],"host_organization":"https://openalex.org/P4310318383","host_organization_name":"Turkish Online Journal of Qualitative Inquiry (TOJQI)","host_organization_lineage":["https://openalex.org/P4310318383"],"host_organization_lineage_names":["Turkish Online Journal of Qualitative Inquiry (TOJQI)"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The European Research Journal","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.18621/eurj.1370","doi":"https://doi.org/10.18621/eurj.1370","is_oa":true,"landing_page_url":"https://doi.org/10.18621/eurj.1370","pdf_url":null,"source":{"id":"https://openalex.org/S2764502452","display_name":"The European Research Journal","issn_l":"2149-3189","issn":["2149-3189"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["tr-dizin"],"host_organization":"https://openalex.org/P4310318383","host_organization_name":"Turkish Online Journal of Qualitative Inquiry (TOJQI)","host_organization_lineage":["https://openalex.org/P4310318383"],"host_organization_lineage_names":["Turkish Online Journal of Qualitative Inquiry (TOJQI)"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The European Research Journal","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Objective:":[0],"Established":[1],"community-acquired":[2],"pneumonia":[3],"(CAP)":[4],"severity":[5],"scores,":[6],"such":[7],"as":[8],"CURB-65,":[9,100,173],"rely":[10],"on":[11],"physiological":[12],"derangement.":[13],"We":[14,31],"explored":[15],"whether":[16],"an":[17,193],"admission":[18],"score":[19,54,142,202],"combining":[20],"inflammatory,":[21],"metabolic,":[22],"nutritional,":[23],"and":[24,49,71,103,113,155,174,212],"radiographic":[25],"data":[26],"could":[27],"stratify":[28],"risk.":[29],"Methods:":[30],"retrospectively":[32],"analyzed":[33],"74":[34,122],"of":[35,121,139],"96":[36],"adults":[37],"hospitalized":[38],"with":[39,228],"CAP":[40],"at":[41],"a":[42],"Turkish":[43],"state":[44],"hospital":[45],"between":[46],"January":[47],"2024":[48],"June":[50],"2025.":[51],"The":[52,74,85,116,129,159],"PCMR":[53,141,201],"assigns":[55],"1":[56,191],"point":[57],"each":[58],"for":[59,164,167,172,176],"neutrophil-to-lymphocyte":[60,177],"ratio":[61,178],"\u22657.85,":[62],"triglyceride-glucose":[63],"index":[64,81],"\u22658.89,":[65],"Geriatric":[66],"Nutritional":[67],"Risk":[68],"Index":[69,106],"\u226492,":[70],"multilobar":[72],"infiltrate.":[73],"laboratory":[75],"cutoffs":[76,230],"were":[77],"derived":[78],"via":[79],"Youden":[80],"within":[82],"this":[83,197],"cohort.":[84],"primary":[86],"outcome":[87,117],"was":[88,143,162,183,213],"intensive":[89,127],"care":[90],"admission,":[91],"invasive":[92],"mechanical":[93],"ventilation,":[94],"or":[95,190,218],"in-hospital":[96],"death.":[97],"Comparators":[98],"included":[99],"complete":[101],"SMART-COP,":[102,165],"Pneumonia":[104,168,219],"Severity":[105,169,220],"class.":[107],"Internal":[108],"validation":[109,211,227],"used":[110],"repeated":[111],"cross-validation":[112],"bootstrapping.":[114],"Results:":[115],"occurred":[118],"in":[119,157,231],"10":[120],"patients":[123],"(13.5%),":[124],"all":[125],"requiring":[126],"care.":[128],"apparent":[130,160,205],"area":[131],"under":[132],"the":[133,140,200],"receiver":[134],"operating":[135],"characteristic":[136],"curve":[137],"(AUC)":[138],"0.90":[144,166],"(95%":[145],"CI,":[146],"0.81\u20130.97),":[147],"decreasing":[148],"to":[149,216],"0.86":[150],"after":[151,209],"bootstrap":[152],"optimism":[153],"correction":[154],"0.81":[156,171],"cross-validation.":[158],"AUC":[161],"0.92":[163],"Index,":[170],"0.77":[175],"alone.":[179],"No":[180,186],"paired":[181],"difference":[182],"statistically":[184],"significant.":[185],"patient":[187],"scoring":[188],"0":[189],"experienced":[192],"event.":[194],"Conclusions:":[195],"In":[196],"pilot":[198],"cohort,":[199],"showed":[203],"good":[204],"discrimination,":[206],"which":[207],"decreased":[208],"internal":[210],"not":[214],"superior":[215],"SMART-COP":[217],"Index.":[221],"This":[222],"4-domain":[223],"concept":[224],"requires":[225],"prospective":[226],"fixed":[229],"larger":[232],"cohorts":[233],"before":[234],"clinical":[235],"use.":[236]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-11T00:00:00"}
