Evaluation of the SMARTACOP score for stratifying pneumonia risk in a Torres Strait Islander population

McIver, L., Berghofer, H., Tongpao, L., Kippin , A., and Buettner, P. (2014) Evaluation of the SMARTACOP score for stratifying pneumonia risk in a Torres Strait Islander population. Australian Indigenous Health Bulletin, 14 (1). pp. 1-6.

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Abstract

Objective: To review the accuracy and utility of the SMARTACOP score in classifying pneumonia risk in a Torres Strait Islander population.

Methods: Retrospective chart audit in the setting of a remote hospital in northern Australia with a majority Indigenous population. Eligible for inclusion in the study were 70 adult Torres Strait Islander patients admitted to Thursday Island Hospital with pneumonia between 1998 and 2010. The main outcome measure was correlation between retrospectively-generated SMARTACOP scores and patient outcomes.

Results: The SMARTACOP score, in its current form, appeared to correlate poorly with patient outcomes in this population, with a positive predictive value of 19.0% (95%-CI = 5.5, 41.9), but does appear to be useful in excluding serious disease, given the negative predictive value of 100% (95%-CI = 92.8, 100).

Conclusion: The SMARTACOP score does not appear to accurately predict severity of pneumonia in Torres Strait Islander patients in the Torres Strait.

Implications: A more useful and practical score in the Torres Strait islands would combine the need for patient retrieval along with the need for invasive ventilation or inotropic support in stratifying pneumonia risk in this population; this may also be a useful modification in other rural and remote hospital settings.

Item ID: 41090
Item Type: Article (Refereed Research - C1)
ISSN: 1445-7253
Date Deposited: 28 Oct 2015 03:34
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 34%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111717 Primary Health Care @ 33%
11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110309 Infectious Diseases @ 33%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920109 Infectious Diseases @ 50%
92 HEALTH > 9203 Indigenous Health > 920399 Indigenous Health not elsewhere classified @ 50%
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