Escala de FINE para evaluar la gravedad y el riesgo de mortalidad de la Neumonía Adquirida en la Comunidad. 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-. 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.
|Genre:||Health and Food|
|Published (Last):||8 November 2018|
|PDF File Size:||12.7 Mb|
|ePub File Size:||9.72 Mb|
|Price:||Free* [*Free Regsitration Required]|
In our institution, the Emergency Department does not use the PSI for guiding the site-of treatment decision.
Evaluamos a una cohorte de pacientes. Eur Respir Re, 15pp. A prediction rule to identify low-risk patients with community-acquired pneumonia. Therefore, the submission of manuscripts written in either Spanish or English is welcome. Pleural puncture, transthoracic needle puncture, tracheobronchial aspiration in mechanically ventilated patients and protected specimen brush PSB or bronchoalveolar lavage BAL sampling were performed according to clinical indication or judgement of the attending physician.
Neumonía adquirida en la comunidad | Archivos de Bronconeumología (English Edition)
The initial management decision of patients with CAP is to determine the site of care outpatients or hospitalization in a medical ward or ICU and crierios depends on the severity of the disease.
Other types of articles such as reviews, editorials, special articles, clinical reports, and letters to the Editor are also published in the Journal.
Capacidad de la procalcitonina para predecir bacteriemia en There were no other exclusion criteria. Log In Create Account.
Pneumonia severity index
Mean hospitalization stays by PORT-groups. Mortality treated before 4 hours: Are you a health professional able to prescribe or dispense drugs? Prognosis and outcomes of patients with-community-acquired pneumonia. Severity distribution according to PORT score was See more Access to any published article, in either language, is possible through the Journal web page as well as from Pubmed, Science Direct, and criteriox international databases.
We think that it might be more practical to implement easily memorable criteria and dealing with 5 variables instead finf 20 offers greater simplicity and applicability.
Time door-1st antibiotic dose 6.
Hospitalized Community-Acquired Pneumonia in the elderly. A prediction rule to identify low-risk patients with Community-Acquired Pneumonia. Assign points based on age, gender, nursing home residence, co-morbid illness, physical examination findings, and laboratory and radiographic findings as listed above.
The effects of the severity of disease, treatment, and the characteristics of patients. Clin Infect Dis, 38pp. However, our study has two limitations: Eur Respir J ; Although complicated algorithms including multiple variables might be superior and have higher predictive indices, there are other important factors in the assessment of objective admission criteria Is it reasonable to expect all patients to receive antibiotics within 4 hours?
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 N Engl J Med. The rule was derived then validated with data from 38, patients from the MedisGroup Cohort Study forcomprising 1 year of data from hospitals across the US who used the MedisGroup patient outcome tracking software built and serviced by Mediqual Systems Cardinal Health.
It is estimated that in Spain between 1. Community-acquired pneumonia in the elderly: The original study created a five-tier risk stratification based on inpatients with community acquired pneumonia. Creating an account is free, easy, and takes about 60 seconds. Is timing everything or just a cause of more problems?
The rule uses demographics whether someone is older, and is male or femalethe coexistence of co-morbid illnesses, criterjos on physical examination and vital signsand essential laboratory findings. Critical Actions For patients scoring high on PSI, it would be prudent to ensure initial triage has not missed the presence of sepsis. Am J Epidemiol,pp. Antibiotic timing and diagnostic uncertainty in Medicare patients with pneumonia: Use of intensive care services and evaluation of Nekmonia and British Thoracic Society diagnostic criteria.
Prognosis and outcomes of patients with-community-acquired pneumonia. The Impact Factor measures the average number of citations received in a particular year by papers published in the criterioe during the two receding years. Thorax, 59pp.
The site-of-care home or hospital greatly determines the extensiveness of the diagnostic evaluation, the route of antimicrobial therapy and the economical cost.
This prediction rule may help physicians make more rational decisions about hospitalization for patients with pneumonia. There is a need for simpler prognostic models to guide the site-of-care decision to ensure that as many patients as possible are treated on an ambulatory basis and to identify those at high risk of mortality.
Severe CAP is a life-threatening condition and identification of patients likely to have a major adverse outcome is a key step in reducing the mortality rate of CAP JAMA,pp.
Mean hospitalization stay was calculated excluding patients who died to avoid artificial low beumonia in more severe patients. Therefore, different investigators have attempted to find objective site-of-care criteria 7,10, Diagn Microbiol Infect Dis, 61pp.