Por el Dr. Universidad de Cantabria. Los criterios se agruparon en tres conjuntos de variables. Ver tabla 1. Ver tabla 2.
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Enter your email address and we'll send you a link to reset your password. For most patients however, the CURB is easier to use and requires fewer inputs. 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. Disposition inpatient vs. For patients scoring high on PSI, it would be prudent to ensure initial triage has not missed the presence of sepsis.
Evaluation of SIRS criteria would be beneficial. This is an unprecedented time. It is the dedication of healthcare workers that will lead us through this crisis. Thank you for everything you do. Calc Function Calcs that help predict probability of a disease Diagnosis. Subcategory of 'Diagnosis' designed to be very sensitive Rule Out. Disease is diagnosed: prognosticate to guide treatment Prognosis. Numerical inputs and outputs Formula. Med treatment and more Treatment.
Suggested protocols Algorithm. Disease Select Specialty Select Chief Complaint Select Organ System Select Log In. Email Address. Password Show. Or create a new account it's free. Forgot Password? Sign In Required. To save 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.
Log in to create a list of your favorite calculators! Log in. When to Use. Why Use. Since points are assigned by absolute age in the PSI, it may underestimate severe pneumonia in an otherwise young healthy patient.
Consider sepsis in patients with pneumonia; the PSI was developed prior to aggressive sepsis screening with lactate testing. Any patient over 50 years of age is automatically classified as risk class 2, even if they otherwise are completely healthy and have no other risk criteria. Nursing home resident. Neoplastic disease. Liver disease history. CHF history. Cerebrovascular disease history. Renal disease history. Altered mental status.
Systolic blood pressure No. Temperature Sodium No. Hematocrit No. Partial pressure of oxygen No. Pleural effusion on x-ray. For research purposes only; answer does NOT impact results. Confirmed positive. Result: Please fill out required fields. Next Steps. Creator Insights. Advice While many pneumonias are actually viral in nature, typical practice is to provide a course of antibiotics given the pneumonia may be bacterial.
Step 2: Assign points based on age, gender, nursing home residence, co-morbid illness, physical examination findings, and laboratory and radiographic findings as listed above. Critical Actions For patients scoring high on PSI, it would be prudent to ensure initial triage has not missed the presence of sepsis. About the Creator Dr.
Michael J. Also from MDCalc
Pneumonia severity index
Enter your email address and we'll send you a link to reset your password. For most patients however, the CURB is easier to use and requires fewer inputs. 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. Disposition inpatient vs. For patients scoring high on PSI, it would be prudent to ensure initial triage has not missed the presence of sepsis. Evaluation of SIRS criteria would be beneficial.
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.
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.