Rizqi A. Nabilah, Eric D. Tenda
Fakultas Kedokteran Universitas Indonesia
Divisi Pulmonologi dan Perawatan Penyakit Kritis, Departemen Ilmu Penyakit Dalam FKUI/RSCM

Abstract
Introduction: Community-acquired pneumonia is an infectious disease with one of the highest mortality rates. Recently, there are two widely-used models that have been developed to predict the severity of the disease: CURB-65 and PSI. This case report aimed to compare PSI and CURB-65 as the better severity assessment model based on the 30-day mortality rate.
Methods: Literature searching was done using two electronic databases: Cochrane® and PubMed® on October 1st, 2015 using CURB-65, Pneumonia Severity Index (PSI), Community-acquired pneumonia, and mortality as keywords. Results: One study suggested that PSI is more accurate for predicting short-term mortality in higher risk patients (AUC 0,81), while another study suggest that CURB-65 is better (AUC 7,44) as a prediction model. Discussion: The study that suggest CURB-65 as a better prediction model used very old patients and most of them had more than one comorbidities which can affect mortality rate. Our patient is a 68-year old woman with chronic kidney disease stage III and chronic heart failure with preserved ejection fraction. We conclude that PSI is better at predicting short-term mortality in our patient.
Keywords: CURB-65, PSI, community-acquired pneumonia,30-day mortality