A prediction rule to identify low-risk patients with community-acquired pneumonia. New England Journal of Medicine ; 4 Thorax ;iv1-iv Severe community-acquired pneumonia. Etiology, prognosis, and treatment.

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Pneumonia Severity Index (PORT Score)

General Calculators. Addiction Medicine. Gupta Perioperative Cardiac Risk Determine peri-operative risk for a wide array of surgeries. Cardiac Surgery. Clinical Status Assessment. Intraoperative Monitoring.


Pneumonia severity index

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 expenses. It is estimated that in Spain between 1. 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 2. The site-of-care home or hospital greatly determines the extensiveness of the diagnostic evaluation, the route of antimicrobial therapy and the economical cost. But the site-of-care decision is also medically important 3,4 as hospitalization and admission to the intensive care unit ICU increases the risk of thromboembolic events and superinfection by more virulent or resistant hospital bacteria. Patients at low risk for death treated in the outpatient setting are able to resume normal activity sooner and many of them also prefer outpatient therapy 2. The decision to 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.


Concordancia de las escalas de Neumonía Aguda de la Comunidad

The pneumonia severity index PSI or PORT Score is a clinical prediction rule that medical practitioners can use to calculate the probability of morbidity and mortality among patients with community acquired pneumonia. This prediction rule may help physicians make more rational decisions about hospitalization for patients with pneumonia. Mortality prediction is similar to that when using CURB The rule uses demographics whether someone is older, and is male or female , the coexistence of co-morbid illnesses, findings on physical examination and vital signs , and essential laboratory findings. This study demonstrated that patients could be stratified into five risk categories, Risk Classes I-V, and that these classes could be used to predict day survival. The purpose of the PSI is to classify the severity of a patient's pneumonia to determine the amount of resources to be allocated for care.



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