Se necesitan criterios más sencillos para evaluar este riesgo. Neumonía adquirida en la comunidad links this quantification of illness severity to an appropriate level of outpatient treatment (Fine I and II), brief inpatient observation (Fine III). La estratificación del riesgo de la neumonía adquirida en la comunidad (NAC) a o escala de Fine y el CURB, útiles sobre todo para evaluar la necesidad de Los criterios de la normativa ATS-IDSA de son los más utilizados para. gravedad de la neumonía no sólo es crucial para la decisión Sin embargo, los criterios empleados para admitir En un estudio multicéntrico, Fine y cols con-.

Author: Arashibar Tukasa
Country: Gambia
Language: English (Spanish)
Genre: Finance
Published (Last): 19 January 2008
Pages: 406
PDF File Size: 4.86 Mb
ePub File Size: 7.20 Mb
ISBN: 883-8-97471-499-7
Downloads: 48845
Price: Free* [*Free Regsitration Required]
Uploader: Goltitaur

PSI/PORT Score: Pneumonia Severity Index for CAP – MDCalc

Several results deserve further comments. Hospital Universitario Virgen de la Arrixaca. In our series similar simpler criteria to assess mortality in patients with CAP were identified.

To analize nrumonia compare differences in patients older than 80 years with Community acquired Pneumonia admitted in Internal Medicine or Pneumology of a General Hospital from the Emergency Room. About the Creator Dr. Should SOAR systolic blood pressure, oxygenation, age and respiratory rate criteria be used in older people?

N Engl J Med. A sample of was randomly selected for data collection from clinical records according to a standard protocol study of CAP. In a Page Medicine. Simpler criteria to assess mortality in CAP were identified.

We analysed epidemiological, clinical, radiological and laboratory data ppara with mortality. The decision crirerios admit a patient with CAP in medical wards or ICU may depend on subjective clinical views and peculiarities of the local healthcare setting and different studies have demonstrated that the establishment of valid criteria for a definition of severe pneumonia would provide a more reliable basis for improving patient risk assessment and therefore help physicians in their daily practice 2,5,6 The Pneumonia Patient Outcomes Research Team PORT 7 developed a prediction rule to identify patients with CAP who are at risk for death and other adverse outcomes Pneumonia Severity Index [PSI].


Infect Dis Clin North Am. The validation study was done in India and included patients.

Critical Actions For patients scoring high on PSI, it would be prudent to ensure initial triage has not missed the presence of sepsis. For patients scoring high on PSI, it would be prudent to ensure initial triage has not missed the presence of sepsis.

Community-acquired pneumonia CAP is a common disease, representing the most frequent cause of hospital admission and mortality of infectious origin in developed countries; it also has an important impact on health neujonia.

Points are assigned based on age, co-morbid disease, abnormal physical findings, and abnormal laboratory results.

Pneumonia severity index – Wikipedia

Validation Shah BA, et. The CURB scores range from 0 to 5. Patient’s clinical records were assessed until in-hospital death or discharge. One or two coexisting conditions were present in Patient’s clinical records were assessed until in-hospital death or discharge.

This cut-off point was considered according to previous studies CURB score 8. Subcategory of ‘Diagnosis’ designed to be very sensitive Rule Out.

There was a problem providing the content you requested

It takes care of a population of approximatelyindividuals. CAP will continue to represent an important threat to patients as the number of patients at risk people with comorbid conditions and elderly ones increases Arch Intern Med ; Assign points based on age, gender, nursing home residence, co-morbid illness, physical examination findings, and laboratory and radiographic findings as listed above.

  ISO 20776-2 PDF

The most recent modification of the BTS 8 criteria includes 5 easily measurable factors Mortality similar following strict guidelines or variant. A compilation study of two prospective cohorts. Delayed administration of antibiotics and atypical presentation in Community-Acquired Pneumonia.

Use of intensive care services and evaluation of American and British Thoracic Society diagnostic criteria. Arch Bronconeumol ; Time door-1st antibiotic dose 6. Hospitalized Community-Acquired Pneumonia in the elderly. However, this score considers too many variables.

Quality of neumknia, process, and outcomes in elderly patients with Pneumonia. You can change the settings or obtain more information by clicking here. Study period and patients Observational- retrospective study of clinical records of patients with CAP admitted to our hospital from January to December Severity distribution according to PORT score was Factores relacionados con la mortalidad durante el episodio y tras el alta hospitalaria.

A prediction rule to identify low-risk patients with Community-Acquired Pneumonia. A cohort of patients with CAP was studied.