{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T11:03:58Z","timestamp":1789470238282,"version":"build-2803163510"},"reference-count":43,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010628","name":"Universidad de La Sabana","doi-asserted-by":"publisher","award":["MEDMSC-10-2025"],"award-info":[{"award-number":["MEDMSC-10-2025"]}],"id":[{"id":"10.13039\/501100010628","id-type":"DOI","asserted-by":"publisher"}]},{"award":["MEDMSC-10-2025"],"award-info":[{"award-number":["MEDMSC-10-2025"]}],"id":[{"id":"https:\/\/ror.org\/02sqgkj21","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Dis. Rep.","Infectious Disease Reports"],"abstract":"<jats:p>Background: Community-acquired pneumonia (CAP) causes significant long-term morbidity and mortality. Existing clinical scores focus on short-term outcomes, highlighting the need to validate tools that accurately predict 12-month mortality in hospitalized patients. Materials and Methods: A retrospective cohort of adults hospitalized with CAP from 2012 to 2020 was analyzed. Clinical, laboratory, radiological, and hospitalization-related data were collected. A Cox proportional hazards model was developed to predict post-acute mortality between 30 days and 12 months after hospital admission among patients with CAP who survived the first 30 days, with the cohort split 50:50. Model performance was evaluated using Area Under the Receiver Operating Characteristic Curve (AUROC) and standard diagnostic accuracy metrics. Results: A total of 13,851 patients with CAP were included. In the derivation cohort, independent predictors were altered mental status (HR 2.08; 95% CI 1.49\u20132.90; p &lt; 0.05), elevated BUN (&gt;30 mg\/dL; HR 1.98; 95% CI 1.48\u20132.63; p &lt; 0.05), temperature extremes (&lt;35 \u00b0C or &gt;39.9 \u00b0C; HR 1.98; 95% CI 1.43\u20132.74; p &lt; 0.05), corticosteroid use (HR 1.85; 95% CI 1.40\u20132.44; p &lt; 0.05), neoplasia (HR 1.58; 95% CI 1.08\u20132.32; p &lt; 0.05), and hospital stays longer than 8 days (HR 1.39; 95% CI 1.06\u20131.82; p &lt; 0.05). The new score achieved the highest AUROC (0.69; 95% CI: 0.66\u20130.73), followed by PSI (0.65; 95% CI: 0.62\u20130.69), CURB-65 (0.63; 95% CI: 0.59\u20130.67), and CAPSI (0.62; 95% CI: 0.58\u20130.67). The optimal cutoff point for the new score was 3, as determined by the Youden index (0.339). The model sensitivity was 83.0%, specificity: 50.9%, PPV: 8.9%, and NPV: 99.0%. The LR+ was 1.69 (95% CI: 1.38\u20132.06), and the LR\u2212 was 0.33 (95% CI: 0.27\u20130.41). Conclusions: The new score demonstrated weak-to-moderate discriminatory capacity. The variables included in the new score reflect multiorgan involvement, disease severity, and comorbidity burden, all of which are associated with long-term mortality.<\/jats:p>","DOI":"10.3390\/idr18050103","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T09:31:57Z","timestamp":1789464717000},"page":"103","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Performance and Validation of a New Long-Term Mortality Risk Score in Community-Acquired Pneumonia: A Colombian Cohort"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0457-8630","authenticated-orcid":false,"given":"Gabriela","family":"Guerron-Gomez","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7243-2238","authenticated-orcid":false,"given":"Eduardo","family":"Tuta-Quintero","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"},{"name":"School of Medicine, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8873-9779","authenticated-orcid":false,"given":"Alirio","family":"Bastidas","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"},{"name":"School of Medicine, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7574-7913","authenticated-orcid":false,"given":"Luis F.","family":"Giraldo-Cadavid","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"},{"name":"School of Medicine, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"P\u00e9rez-Escobar","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7517-8266","authenticated-orcid":false,"given":"Luisa F.","family":"Mart\u00ednez","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Castillo-P\u00e1ez","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Criado-Quintero","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Trujillo-Herrera","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angie","family":"Sandoval-Blanco","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Osorio-Betancourt","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4205-2936","authenticated-orcid":false,"given":"Laura","family":"Medell\u00edn-Ortiz","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Chaves-Pauwels","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Mart\u00ednez-S\u00e1enz","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad de La Sabana, Campus del Puente del Com\u00fan, Km. 7, Autopista Norte de Bogot\u00e1, Ch\u00eda 250001, 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