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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Clinical status must be reassessed 48 hours after empirical antibiotic treatment is started.

neumoniq The rule uses demographics whether someone is older, and is male or femalethe coexistence of co-morbid illnesses, findings on physical examination and vital signsand essential laboratory findings. More in Pubmed Citation Related Articles.

Diagn Microbiol Infect Dis, 61pp. Fine’s publications, visit PubMed.

File:Fine o PSI.png

About the Author Dr. Clin Infec Dis, 47pp. Thorax, 64pp. Assign points as in the clasificxcion based on confusion status, urea level, respiratory rate, blood pressure, and age. Is outpatient treatment safe for this patient? A prediction rule to identify low-risk patients with community-acquired pneumonia.

On average, patients treated using the PSI protocol had greater severity of illness; however, they were less likely to be hospitalized, had shorter hospitalizations and had similar clinical outcomes compared with patients treated using usual care. Choose a single article, issue, or full-access subscription.

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Clin Infect Dis, 44pp. This prediction rule may help physicians make more rational decisions about hospitalization for patients with pneumonia. Continuing navigation will be considered as acceptance of this use. Eur Respir J, 26pp. For patients scoring high on CURB, it would be prudent to ensure initial triage has not missed the presence of sepsis. While many pneumonias are actually viral in nature, typical practice is to provide a course of antibiotics given the pneumonia may be bacterial.

Chest,pp. To see the full article, log in or purchase access. Get immediate access, anytime, anywhere. Inpatient Treatment of Community Acquired Pneumonia. A related article appears in the April 15 issue of AFP. Using a clinical prediction tool at the point of care will help you choose which course is best for your patient. Log In Create Account.

For most patients however, the CURB is easier to use and requires fewer inputs. Clinical status must be reassessed 48 hours after empirical antibiotic treatment is started. N Engl J Med,pp. About the Creator Dr.

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. Quantification Volumetric Cardiology AR: Calc Function Calcs that help predict probability of a disease Diagnosis.

Pneumonia Severity Index (PORT Score)

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. An alternative scoring systemSOAR, circumvents those two parameters. Points are assigned based on age, co-morbid disease, abnormal physical findings, and abnormal laboratory results. He is an active researcher in the field of thoracic medicine with a special focus on bacterial and community acquired infections. Rockall Score Estimate risk of mortality after endoscopy for GI bleed.

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Mitral Valve Area Hakki. Send comments to fpmedit clasificacuon.

File:Fine o – Wikimedia Commons

Calc Function Calcs that help predict probability of a disease Diagnosis. For patients scoring neumpnia on PSI, it would be prudent to ensure initial triage has not missed the presence of sepsis. Eur Respir J, 20pp. Assign points based on age, gender, nursing home residence, co-morbid illness, physical examination findings, and laboratory and radiographic findings as listed above.

CURB Score for Pneumonia Severity – MDCalc

About the Creator Dr. A five-point score based on confusion, urea, respiratory rate, blood pressure, and age was developed to stratify clasificacioon into different treatment group based on mortality risk. Partial pressure of oxygen No. Please fill out required fields.