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Comparative Prognostic Accuracy of Clinical and Inflammation- or Nutrition-Based Scores in Older Adults with Community-Acquired Pneumonia

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The Pneumonia Severity Index showed the highest predictive accuracy for mortality and ICU admission in older adults.
The Glasgow Prognostic Score achieved an AUC of 0.753 for predicting mortality, indicating moderate effectiveness.
Independent predictors of mortality included acute confusion, low blood pressure, and reduced hemoglobin levels.
Inflammation-based scores like CAR exhibited lower discriminative ability, indicating a need for improved prognostic tools.

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Retrospective comparison assessed 30-day mortality and ICU admission in older adults, suggesting PSI's superiority.

Ekşioğlu et al. (2025) studied this question.

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