Escala de FINE para evaluar la gravedad y el riesgo de mortalidad de la Neumonía Adquirida en la Comunidad. 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-. 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.

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Mortality prediction is similar to that when using CURB About the Creator Michael J. This prediction rule may help physicians make more rational decisions about hospitalization for patients with pneumonia. This item has received.

Therefore, different investigators critsrios attempted to find objective site-of-care criteria 7,10, Early administration of antibiotics does not shorten time to clinical stability in patients with moderate-to-severe Community-Acquired Pneumonia.

Other types of articles such as reviews, editorials, special articles, clinical reports, and letters to the Editor are also published in the Journal. Timing of antibiotic administration and outcomes for Medicare patients hospitalized with Community-Acquired Pneumonia. Most commonly, the PSI scoring system has been used to decide whether patients with pneumonia can be treated as outpatients or as hospitalized inpatients. Clin Infect Dis ; Arch Bronconeumol ; Community-acquired pneumonia due to gram-negative bacteria and Pseudomonas aeruginosa: Views Read Edit View history.

Diagn Microbiol Infect Dis, 61pp.

CiteScore measures average citations received per document published. Retrieved from ” https: The Hospital Universitario Virgen de la Arrixaca in Murcia Spain is a university teaching hospital comprising beds, of them belonging to the General Hospital.


In our opinion, age might be a consideration to be taken into account when deciding where to treat the patient because this group of patients might require respiratory and severe sepsis support Pacientes con elevados grados de FINE-3,4,5 reflejan ingresos apropiados, comorbilidades ctiterios y riesgo grave o muy grave. En la tabla I describimos la muestra. While many pneumonias are actually viral in nature, typical practice is to provide a course of antibiotics given the pneumonia may be bacterial.

The decision to admit a patient with CAP in medical wards or ICU may depend on subjective clinical views and peculiarities of the local healthcare setting and different studies have demonstrated that the establishment of valid criteria for a definition of severe pneumonia would provide a more reliable basis for improving patient risk assessment and therefore help physicians in their daily practice 2,5,6.

Simpler criteria are needed to evaluate the risk of mortality in heumonia with CAP. Time door-1st antibiotic dose 6. Chest,pp. Eur Respir J, 15pp. Arch Intern Med,pp. It takes care of a population of approximatelyindividuals.

Incidence of community-acquired pneumonia in the population of four municipalities in eastern Finland. Impact of initial antibiotic choice on clinical outcomes in community-acquired pneumonia: Eur Respir J, 26cfiterios.

The principal investigators of the study request that you use the official version of the modified score here. Delayed administration of antibiotics and atypical presentation in Community-Acquired Pneumonia. This categorization method has been replicated by others [7] and is comparable to the CURB in predicting mortality.


La mortalidad era mayor en los H. A subanalysis of patients by age group cut-off: Simple criteria to assess mortality in patients with community-acquired pneumonia.

Neumonía en el anciano mayor de 80 años con ingreso hospitalario

Several results deserve further comments. CAP will continue to represent an important nejmonia to patients as the number of patients at risk people with comorbid conditions and elderly ones increases 2.

Creating an account is free, easy, and takes about 60 seconds. Greater experience and randomized trials of alternative admission and severity criteria are required.

Evaluamos a una cohorte de pacientes. Points are assigned based on age, co-morbid disease, abnormal physical findings, and abnormal laboratory results.

Pneumonia severity index

A prediction rule to identify low-risk patients with community-acquired pneumonia. Continuing navigation will be considered as acceptance of this use. Associations between initial antimicrobial therapy and medical outcomes for hospitalized elderly patients with Pneumonia. You can change the settings or obtain more neukonia by clicking here. First of all, a remarkable re is that mortality rate and mean hospitalization stay were significantly higher in high risk groups table 1.

Risks factors of treatment failure in community acquired pneumonia: Stratify to Risk Class I vs.

Defining community acquired pneumonia severity on presentation to hospital: For most patients however, the CURB is easier to use and requires fewer inputs.