Journal article

Comparing the pneumonia severity index with CURB-65 in patients admitted with community acquired pneumonia

Michelle R Ananda-Rajah, Patrick GP Charles, Sharmila Melvani, Laurelle L Burrell, Paul DR Johnson, M Lindsay Grayson

SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES | INFORMA HEALTHCARE | Published : 2008

Abstract

Pneumonia severity assessment systems such as the pneumonia severity index (PSI) and CURB-65 were designed to direct appropriate site of care based on 30-d mortality. Increasingly they are being used to guide empirical antibiotic therapy and also possibly to detect patients who will require admission to the intensive care unit (ICU). We retrospectively reviewed the records of all patients admitted to our institution with confirmed community acquired pneumonia (CAP) for the 12 months from January 2002. 408 episodes were studied with an overall 30-d mortality of 15.4% and ICU admission of 10.5%. PSI classes IV/V were significantly better than CURB-65 score > or = 3 for predicting patients who ..

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