La estratificación del riesgo de la neumonía adquirida en la comunidad (NAC) o escala de Fine y el CURB, útiles sobre todo para evaluar la necesidad de. Palabras clave: neumonía, diagnóstico, falla respiratoria, sepsis grave. Unidad de Cuidados En un estudio multicéntrico, Fine y cols con- feccionaron y. Fine MJ, Auble TE, Yealy DM, et. al. A prediction rule to identify low-risk patients with community-acquired pneumonia. N Engl J Med. ;
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Pneumonia Severity Index (PORT Score) | Calculate by QxMD
Enter your email address and we’ll send you a link to reset your password. Please fill out required fields. While many pneumonias are actually viral in nature, typical practice is to provide a course of antibiotics given the pneumonia may be bacterial. The CURB scores range from 0 to 5. Assign points as in the table based on confusion status, urea level, respiratory rate, blood pressure, and age. Clinical management decisions can be made based on the score, as described in the validation study below:.
For patients scoring high on CURB, it would be prudent to ensure initial triage has not missed the presence of sepsis.
Evaluation of SIRS criteria would finr beneficial. It included a total of patients. A five-point score based on confusion, urea, respiratory rate, blood pressure, and age was developed to stratify patients into different treatment group based on mortality risk. The validation study was done in India and included patients. Several other more recent validation studies in several different countries show increasing mortality and even need for intubation with increasing CURB scores, ranging from He is an active researcher in the field of thoracic medicine with a special focus on bacterial and community acquired infections.
John Macfarlane’s publications, visit PubMed.
Calc Function Calcs that help predict probability of a disease Diagnosis. Subcategory of ‘Diagnosis’ designed to be very sensitive Rule Out. Numerical inputs and outputs Formula.
Med treatment and more Treatment. Or create a new account it’s free. To nemonia favorites, you must log in. Creating an account is free, easy, and takes about 60 seconds. Log In Create Account. The principal investigators of the study request that you use the official version of the modified score here. The CURB Score includes points for confusion and blood urea nitrogen, which in the acutely ill elderly patient, could be due to a variety of factors.
An alternative scoring systemSOAR, circumvents those two parameters.
File:Fine o PSI.png
CURB does not assign points for co-morbid illness and nursing home residence, as the original study did account for many of these conditions. CURB is fast to compute, requires likely already-available patient information, and provides an excellent risk stratification of community acquired pneumonia.
It can facilitate better utilization of resources and treatment initiation. Advice While many pneumonias are actually viral in nature, typical practice is to provide a course of antibiotics given the pneumonia may be bacterial. Clinical management decisions can be made based on the score, as described in the validation study below: Score Risk Disposition 0 or 1 1.
Outpatient vs. Inpatient Treatment of Community-Acquired Pneumonia
Critical Actions For patients scoring high on CURB, it would be prudent to ensure initial triage has not missed the presence of sepsis. Formula Addition of the selected points, as above.
Defining community acquired pneumonia severity on presentation to hospital: Validation Shah BA, et. Prospective comparison of three validated prediction rules for prognosis in community-acquired pneumonia. Should SOAR systolic blood pressure, oxygenation, age and respiratory rate criteria be used in older people?
A compilation study of two prospective cohorts.
Validation of a predictive rule for the management of community-acquired pneumonia. About the Creator Dr.