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. Compared to the 20variable pneumonia severity index psi, the curb 65 score is much easier to remember and apply clinically. The curb65 confusion, uremia, respiratory rate, bp, age. Index in the prediction of mortality and long of stay. Guidelines for management of communityacquired pneumonia in adults. Low curb 65 is of limited value in deciding discharge of patients with communityacquired pneumonia stefano aliberti, julio ramirez, roberto cosentini, anna maria brambilla, anna maria zanaboni, valeria rossetti, paolo tarsia, paula peyrani, federico piffer, francesco blasi. Defining community acquired pneumonia severity on presentation to hospital. Antibiotic studies for the treatment of communityacquired pneumonia in adults thomas m file. From january 2012 through may 2012, there were 96 hospital admissions due to pneumonia reference 2.
Pac pneumonia adquirida na comunidade all acronyms. Hypoxemia may influence the prognosis of patients with mild pneumonia, regardless of the initial curb65 score confusion, blood urea nitrogen 20 mgdl, respiratory rate 30 breathsmin, blood pressure 38. Hypoxemia adds to the curb65 pneumonia severity score in. The authors of the original curb65 report suggested that patients with a curb65 score of 0 to 1, who comprised 45 percent of the original cohort and 61 percent overview of communityacquired pneumonia in adults view in chinese. Curb65, also known as the curb criteria, is a clinical prediction rule that has been validated for predicting mortality in communityacquired pneumonia and infection of any site.
Diagnosis and treatment of adults with communityacquired. Inpati ment of communityed pneumonia outp treatment acquired pn. Severe community acquired pneumonia, curb 65, ats criteria, general ward, prognosis, outcome. Introduccion, objetivos y metodologia introduccion. Comparison between curb65, psi, and sipf scores as. What is the abbreviation for pneumonia adquirida na comunidade. Communityacquired pneumonia and main prediction of severity methods. A pneumonia adquirida na comunidade desenvolvese em individuos com pouco ou nenhum contato com instituicoes ou ambientes medicos. It was developed in 2002 at the university of nottingham by dr. Prognosis of communityacquired pneumonia in adults.
Community acquired pneumonia cap is one of the first mortality. Severe community acquired pneumonia, curb65, ats criteria, general ward, prog nosis, outcome. Pneumonia adquirida na comunidade disturbios pulmonares. Pneumonia severity assessment home national medical. The traditional, binary curb65 score predicted mortality in the us cohort with an area under the curve auc of 0. The american thoracic society criteria ats of severe cap and curb65 scores from 89 medical records were calculated. The curb 65 is based on the earlier curb score and is recommended by the british thoracic society for the assessment of severity of pneumonia. Acquiredcommunity pneumonia acp is a main infectious disease that affect in geriatric people, and, might be potentially a cause of mortality associated to. Neumonia adquirida en lacomunidadmaria jose garcia montanes r1 cs fuentes nortericardo herrejon silvestre r1 cs san pablo14mayo20 2. We created a new score system, which expands curb65 and consists of 8 parameters, named expandedcurb65 including age.
Ricardo mora moreno r3mi 01marzo2016 ciudad obregon, sonora. Low curb65 is of limited value in deciding discharge of. In the curb 65 score, one point is awarded for each of the following. The psi and curb 65 were not designed to help select the level of care needed by a patient who is hospitalized for cap. Committee of the british thoracic society standards of care committee. Nesta revisao, enfocamos os aspectos clinicos, o diagnostico e o tratamento da pneumonia em pacientes adultos imunocompetentes, com particular atencao aos mais recentes avancos nesta area.
Os patogenos mais comumente identificados sao streptococcus pneumoniae, haemophilus influenzae, bacterias atipicas i. Pneumonia patient outcome research team port, curb y curb 65 british. Several prognostic models have been designed to predict the need for higher levels of inpatient treatment intensity using severityofillness parameters based on patient outcomes ats 2001, idsaats 2007, smartcop, and scap. Our severity prediction model generated from continuous, weighted curb65 elements was superior to the traditional curb65, with an outofbag auc of 0. Curb 65, also known as the curb criteria, is a clinical prediction rule that has been validated for predicting mortality in communityacquired pneumonia and infection of any site. Prospective comparison of severity scores for predicting. Most episodes are of bacterial origin, streptococcus pneumoniae is the most fre. Sixty percent had hypoxemia, and those patients risk of death was up to 5 times higher than the patient without hypoxemia. Mar 18, 2016 we created a new score system, which expands curb65 and consists of 8 parameters, named expandedcurb65 including age. To compare the prognostic value of the sipf shock index and hypoxemia score as the combination of shock index heart ratesystolic blood pressure 0.
The curb65 is based on the earlier curb score and is recommended by the british thoracic society for the assessment of severity of pneumonia. Pac abbreviation stands for pneumonia adquirida na comunidade. The psiport score is often used to predict the need for hospitalization in people with pneumonia. Curb 65 0 1 curb 65 2 curb 65 3 o mas manejo clinico ambulatorio solicitar rx.120 1479 1007 1166 394 716 1338 964 624 376 925 795 88 1497 785 1016 224 1229 163 535 497 230 264 1123 169 281 359 528 377 1242 1374 1335