PREDICTING THE NEED FOR INVASIVE VENTILATION WITH APACHE IV SCORE IN PATIENTS WITH SEPSIS FROM COMMUNITY ACQUIRED PNEUMONIA

TOPIC: Critical Care TYPE: Original Investigations PURPOSE: Community-acquired pneumonia (CAP) is a leading cause of mortality worldwide. CAP driven by the development sepsis and acute respiratory failure (ARF). Predicting need for invasive ventilation in patients with from community-acquired early initiation mechanical critical strategy management ARF. Acute Physiology Chronic Health Evaluation (APACHE) IV score has been evaluated assessing prognosis critically ill patients. This study aims to predict APACHE pneumonia. The secondary outcomes were hospital mortality, vasopressor requirements, duration intensive care unit (ICU) stay. METHODS: A retrospective chart review was performed on adult ICU admitted due July 2017 until 2020 at Metropolitan Hospital Centre. scores calculated day one admission. Based score, grouped into mild, moderate, severe categories. Patients 25-50 mild category, 51-75 moderate more than 75 category. Each patient ventilation, requirement, then compared between three RESULTS: In total, there 93 selected. category had 28 patients, 45 20 highest (85%), (50%), requirement (5.5 days). Statistical analysis using ordinal regression multinomial logistics. There trend towards statistical significance outcome P-value 0.06. differences categories statistically significant 0.047. However, MICU stay not significant, P values 0.16 0.10, respectively. CONCLUSIONS: pneumonia, high can indicate higher requirements. CLINICAL IMPLICATIONS: scoring system be helpful triaging identifying risk ventilation. DISCLOSURES: No relevant relationships Antony Arumairaj, source=Web Response Imnett Habtes, Thomas Newman, Hansang Park, Julio Valencia,