Se necesitan criterios más sencillos para evaluar este riesgo. Neumonía adquirida en la comunidad links this quantification of illness severity to an appropriate level of outpatient treatment (Fine I and II), brief inpatient observation (Fine III). 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. 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-.

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Arch Bronconeumol ; 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.

Demographic and clinical characteristics of patients in high-risk Par groups by age. Mortality similar following strict guidelines or variant. Validation of a predictive rule for the management of community-acquired pneumonia. Any patient over 50 years of age is automatically classified as risk class 2, even if they otherwise are completely healthy and have cruterios other risk criteria. Mean hospitalization stay was 7.


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. For critrios patients however, the CURB is easier to criterois and requires fewer inputs.

Arch Intern Med ; The CURB Score includes points for confusion and blood urea nitrogen, which in the acutely ill elderly patient, could be due to a variety of factors. Views Read Edit View history.

Neumonía en el anciano mayor de 80 años con ingreso hospitalario

To improve our services and products, we use “cookies” own or third parties fiine to show advertising related to client preferences through the analyses of navigation customer behavior. 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.

We analysed epidemiological, clinical, radiological and laboratory data associated with mortality. Should SOAR systolic blood pressure, oxygenation, age and respiratory rate criteria be used in older people? There were no other exclusion criteria.

CURB Score for Pneumonia Severity – MDCalc

As other authors 20,21we think that age must be considered a very important predictor of severity and therefore mortality in patients with CAP. Presence of these clinical or laboratory abnormalities should be considered as mortality predictors and can be used as a severity adjustment measure and therefore may help physicians make more rational decisions about hospitalization for patients with CAP.


Evaluamos a una cohorte de pacientes. Is it reasonable to expect all patients to receive antibiotics within 4 hours? Comparison of processes and outcomes of Pneumonia care between hospitalist and community-based primary care physicians. New Prediction Model Proves Promising. Advice While many pneumonias are actually viral in nature, typical practice is to provide a course of antibiotics given the pneumonia may be bacterial.

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First critreios all, a remarkable finding is that mortality rate and mean hospitalization stay were significantly higher in high risk groups table 1. Patient’s clinical records were assessed until in-hospital death or discharge. Fin variable dependiente estudiada fue la mortalidad al alta. A cohort of patients older than 12 years with CAP were included.

Are you a health professional able to prescribe or dispense drugs? Prospective comparison of three validated prediction rules for prognosis in community-acquired pneumonia.

It included a total of patients. The principal investigators of the study request that you use the official version of the modified score here. Stratify to Risk Class I vs. Retrieved 11 November You can change the settings or obtain more information by clicking here.