A teaching hospital's experience applying the Pneumonia Severity Index and antibiotic guidelines in the management of community‐acquired pneumonia

Lee, Richard Wai Wing; Lindstrom, Steven

doi:10.1111/j.1440-1843.2007.01121.x

Cited by 49 publications

(42 citation statements)

References 25 publications

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“…27 The eCURB has the additional potential to be adapted to risk stratifications and admission thresholds specifi c to different populations. Additional variables found to infl uence mortality, such as the ratio of oxygen saturation by pulse oximetry require few additional resources compared with the current method of performance measurement.…”

Section: Resultsmentioning

confidence: 99%

CURB-65 Pneumonia Severity Assessment Adapted for Electronic Decision Support

Jones

Bewick

et al. 2011

Chest

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Section: Resultsmentioning

confidence: 99%

CURB-65 Pneumonia Severity Assessment Adapted for Electronic Decision Support

Jones

Bewick

et al. 2011

Chest

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“…2 Australian studies examining the occurrence of CAP have predominantly focused on the association between circulating respiratory viruses and CAP [3][4][5][6] ; the empiric treatment and management of CAP [7][8][9] ; or the efficacy of severity scores to rate the severity of CAP. [10][11][12] An aspect of incidence that has been largely unexplored in the Australian context is seasonal variation in emergency department (ED) presentations and admissions for CAP in isolation. CAP exists year round so understanding seasonal variations in and of its self will be valuable in understanding the burden this disease places on hospital services over time.…”

Section: Introductionmentioning

confidence: 99%

What is the seasonal distribution of community acquired pneumonia over time? A systematic review

Murdoch

Mitra

Lambert

et al. 2014

Australasian Emergency Nursing Journal

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SummaryBackground: Community-acquired pneumonia (CAP) is a growing public health concern in many developed countries including Australia. CAP account for an estimated two percent of all overnight hospital admissions in Australia. Despite the significant burden on the Australian healthcare system and the high level of morbidity and mortality associated with CAP, there has been a paucity of research on the incidence of disease in this country, particularly in relation to seasonal variation of emergency department presentations and subsequent admission. Methods: The following search terms were used: community-acquired AND pneumonia AND/OR seasonal AND season AND/OR variation OR differences. The limits used for the search terms included: ''All Adult''; the years 1948 to current or 1948 to week 1 May 2012, (depending on the database); English language; and with full text. The databases searched included MEDLINE, Embase and CINAHL. Results: Distinct seasonal patterns in the occurrence of CAP were observed: 34% of CAP admissions occurred in spring; 18% in autumn; 26% in winter; and 22% in summer (p = 0.036). Hospital admissions for CAP were significantly higher in the winter and spring (p = <0.001) and highest in December (20.5%) and January (25.1%). Peak hospitalisations from January through to April were observed. The included studies were conducted in the northern hemisphere where the months December to February relate to winter. * Corresponding author at: School of Public Health, La Trobe University, Bundoora, Victoria 3086, Australia.

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“…The PSI, however, has limitations. It is heavily weighted by age and comorbid illness, and the large number of variables makes it complex [3]. The confusion, urea, respiratory rate, blood pressure and age over 65 years (CURB-65) is a simple and mortality-correlate scoring system which is proposed by the British Thoracic Society [4].…”

Section: Introductionmentioning

confidence: 99%

Prediction of Requirement for Mechanical Ventilation in Community-Acquired Pneumonia with Acute Respiratory Failure: A Multicenter Prospective Study

et al. 2012

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Background: Several severity scoring systems for predicting mortality are established in community-acquired pneumonia (CAP). Objectives: The predictability of the aggravation such as requirement for mechanical ventilation in addition to mortality was examined in CAP patients with acute respiratory failure by using the age, dehydration, respiratory failure, orientation disturbance and blood pressure (A-DROP) scoring system which was proposed by the Japanese Respiratory Society. Methods: This study was a prospective, multicenter, observational cohort study. The severity of pneumonia was examined using A-DROP and Pneumonia Severity Index (PSI) which originated from the Infectious Disease Society of America. Requirement for mechanical ventilation and mortality were evaluated for 28 days. Results: 482 CAP patients with acute respiratory failure were enrolled in the study. The 28-day mortality and mechanical ventilation rates were 12.3 and 14.4%, respectively. There were no significant differences in the areas under the receiver-operator characteristic curves for prediction of mortality between A-DROP and PSI (χ² test; p = 0.3613). In the subgroup analyses by severity, the A-DROP scoring system showed a severity-dependent increase of mortality (moderate 5.6%, severe 16.1%, extremely severe 27.1%, Cochran-Armitage trend test; p < 0.0001). Similar results were obtained for mechanical ventilation rate (moderate 9.8%, severe 16.7%, extremely severe 25.4%, Cochran-Armitage trend test; p = 0.0006). The compliance with scoring the A-DROP was higher than that with scoring the PSI (96.9 vs. 71.6%). Conclusions: The results of this study suggest that the A-DROP scoring system could be a simple CAP risk scoring system which could predict not only mortality, but also the requirement for mechanical ventilation.

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A teaching hospital's experience applying the Pneumonia Severity Index and antibiotic guidelines in the management of community‐acquired pneumonia

Cited by 49 publications

References 25 publications

CURB-65 Pneumonia Severity Assessment Adapted for Electronic Decision Support

CURB-65 Pneumonia Severity Assessment Adapted for Electronic Decision Support

What is the seasonal distribution of community acquired pneumonia over time? A systematic review

Prediction of Requirement for Mechanical Ventilation in Community-Acquired Pneumonia with Acute Respiratory Failure: A Multicenter Prospective Study

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