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. ;

Author: Doujinn Voshicage
Country: Saudi Arabia
Language: English (Spanish)
Genre: Relationship
Published (Last): 1 February 2016
Pages: 182
PDF File Size: 5.80 Mb
ePub File Size: 14.85 Mb
ISBN: 143-3-30395-525-8
Downloads: 9777
Price: Free* [*Free Regsitration Required]
Uploader: Guhn

Outpatient vs. Inpatient Treatment of Community-Acquired Pneumonia

Validation and application of the pneumonia prognosis index to nursing home residents with pneumonia. Defining community acquired pneumonia severity on presentation to hospital: Incidence of community-acquired pneumonia in the population of four municipalities in eastern Finland. Systematic review and meta-analysis”. According to the protocol, patients presenting to the emergency department with community-acquired pneumonia who had a PSI risk class of I, II or III were treated as outpatients, although physicians used clinical judgment to overrule this criteria in some instances.

Pneumonia Severity Index (PORT Score)

This was then validated on inpatients and additionally another inpatients and outpatients. Quantification Volumetric Cardiology AR: CURB is fast to compute, requires likely already-available patient information, and provides an excellent risk stratification of community acquired pneumonia.


Introduction Fundamentals of the Prescription. Send comments to fpmedit aafp. Immediate access to this article. Hemodynamic monitoring and support for prevention and management of AKI.

Quantification Volumetric Cardiology MS: In a Page Medicine. Developed by Michael J. To save favorites, you must log in. Critical Actions For patients scoring high on CURB, it would be prudent to ensure initial triage has not missed the presence of sepsis.

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

Want to use this article elsewhere? Stratify to Risk Class I vs.

The score is 0, which suggests that it is safe to treat him as an outpatient. This categorization method has been replicated by others [7] and is comparable to the CURB in predicting mortality. Community-acquired pneumonia due to gram-negative bacteria and Pseudomonas aeruginosa: Physicians may photocopy or adapt for use in their own practices; all other rights reserved.

External factors such as neumonka comorbidities not included in the clinical rules e.

File:Fine o – Wikimedia Commons

Community-acquired pneumonia in Europe: See My Options close Already a member or subscriber? Accessed March 20, Weissfeld, PhD, Daniel E. Comparison of usefulness of plasma procalcitonin and C-reactive protein measurements for estimation of severity in adults neumona community-acquired pneumonia.


Expected spleen size Provides upper limit of normal for spleen length and volume by ultrasound relative to body height and gender. Choose clasificaicon single article, issue, or full-access subscription. Subcategory of ‘Diagnosis’ designed to be very sensitive Rule Out.

N Engl J Med,pp. His white blood cell count is 23, cells per mm 3 with 80 percent neutrophils, and his blood urea nitrogen is 14 mg per dL. A prediction rule to identify low-risk patients with community-acquired pneumonia.

Infectious Diseases Society of America. 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. To save favorites, you must log in. Blatchford Score Assess if intervention is required for neumonua upper GI bleeding. Creating an account is free, easy, and takes about 60 seconds. Thorax, 64pp.