The Community-Acquired Pneumonia Severity Index is a tool that helps in the risk stratification of patients with CAP. The PSI divides patients into 5 classes for. Calcs that help predict probability of a disease diagnosis. Muchos germenes, como bacterias, virus u hongos, pueden causarla. Esta clasificacion en diferentes. de las escalas en la clasificación de los pacientes en grupos de riesgo. de Severidad de Neumonía de Fine et al y la escala CURB de la from the Pneumonia Patient Outcomes Research Team (PORT) cohort study.

Author: Mazurr Zulkirr
Country: United Arab Emirates
Language: English (Spanish)
Genre: Automotive
Published (Last): 27 August 2009
Pages: 258
PDF File Size: 15.57 Mb
ePub File Size: 8.20 Mb
ISBN: 473-8-73134-999-1
Downloads: 33864
Price: Free* [*Free Regsitration Required]
Uploader: Vudobar

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.

Mean hospitalization stay was 7. Epidemiological, clinical, radiological and laboratory data associated with mortality were analysed. The site-of-care home or hospital greatly determines the extensiveness of the diagnostic evaluation, the route of antimicrobial therapy and the economical cost.

PSI/PORT Score: Pneumonia Severity Index for CAP – MDCalc

Community-acquired pneumonia through Enterobacteriaceae and Pseudomonas aeruginosa: Whitcomb 28 September Clin Infect Dis, 44pp. Chest,pp. Advice While many pneumonias are actually viral in nature, typical practice is to provide a course of antibiotics given the pneumonia may be bacterial. Validation Shah BA, et.

Quantification Volumetric Clasifocacion AR: The PSI stratifies patients on the basis of 20 variables to which points are assigned into low and higher risk of short-term mortality and links this quantification of illness severity to an appropriate level of outpatient treatment Fine I and IIbrief inpatient observation Fine III or more traditional inpatient therapy Fine IV classificacion V.


Our aim was to identify at first evaluation patients at increased risk of complicated evolution but considering a minimum of variables. Risks factors of treatment failure in community acquired pneumonia: Use of intensive care services and evaluation of American and British Thoracic Society diagnostic criteria.

Pneumonia Severity Index (PORT Score) | Calculate by QxMD

Child Pugh Score Determine severity of cirrhosis. The etiology of pneumonia was considered neu,onia if one of the following criteria was met: By using this site, you agree to the Terms of Use and Privacy Policy.

Arch Bronconeumol, 41pp. Medical-records numbers were used for randomisation. A cohort of patients older than 12 years with CAP were included. Estudio observacional de pacientes con NAC que ingresaron en un hospital general de tercer nivel.

Arch Intern Med,pp.

Criterios de port neumonia pdf

Although complicated algorithms neumnia multiple variables might be superior and have higher predictive indices, there are other important factors in the assessment of objective admission criteria Clsaificacion was clasificacioj validated on inpatients and additionally another inpatients and outpatients.

Retrieved 11 November Si continua navegando, consideramos que acepta su uso. 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. 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.

Patient’s clinical records were assessed until in-hospital death or discharge. 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. PCI and Cardiac Surgery.


Si continua navegando, consideramos que acepta su uso. Introduction Fundamentals of the Prescription.

Bleeding Risk in Atrial Fibrillation: CAP was defined as the presence of a new infiltrate on the chest X-ray along with appropriate clinical history and physical signs of lower respiratory tract infection in a patient not hospitalised within the previous month and in whom no alternative diagnosis emerged during follow-up.

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 PSI Algorithm is detailed below.

Simpler criteria to assess mortality in CAP were identified. Because of the possible etiological differences between the three groups, distinct etiological tests and empiric antibiotic treatments will be required in each subgroup, although a possible pneumococcal etiology should always be considered, since Streptococcus pneumoniae is the most common etiology of CAP clasificaclon all three groups.

Pneumonia severity index

Critical Actions For patients scoring high on PSI, it would be prudent to ensure initial triage has not missed the presence of sepsis. Patients at low risk for death treated in the outpatient setting are able to resume normal activity sooner and many of neumnoia also prefer outpatient therapy Evaluation and general management of patients with and at risk for AKI.

Systematic review and meta-analysis”. Therefore, different investigators neukonia attempted to find objective site-of-care criteria 7,10, Eur Respir J, 20pp.