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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A sample of was randomly selected for data collection from clinical records according to a standard protocol study of CAP. A prediction tine to identify low-risk patients with community-acquired pneumonia. All manuscripts are sent to peer-review and handled by the Editor or an Associate Editor from the team.

Diagn Microbiol Infect Dis, 61pp. N Engl J Med.

Community-acquired pneumonia in Europe: 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 The Pneumonia Patient Outcomes Research Team PORT 7 developed a prediction rule to identify patients with CAP who are at risk for death and other adverse outcomes Pneumonia Severity Index [PSI].


Mean hospitalization stay was calculated excluding patients who died to avoid artificial low stays in more severe patients.

To save favorites, you must log in. A prediction rule se identify low-risk patients with Community-Acquired Pneumonia. Resultados En la tabla I describimos la muestra.

Formula Addition of selected points, as above. About the Creator Michael J. Aged, 80 and over.

Our aim was to identify at first evaluation patients at increased risk of complicated evolution but considering a minimum of variables. Chest,pp. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.

Since points are assigned by absolute age in the PSI, it may underestimate severe pneumonia in an otherwise young healthy patient. The initial management decision of patients with CAP is to determine the site of care outpatients or hospitalization in a medical ward or ICU and this depends on the severity of the disease.

Thorax, 58pp. Comparison of usefulness of plasma procalcitonin and C-reactive protein measurements for estimation of severity in adults with community-acquired pneumonia. JAMA,pp.


Neumonía adquirida en la comunidad | Archivos de Bronconeumología

Factores relacionados con la mortalidad durante el episodio y tras el alta hospitalaria. However, mortality was 0. For patients scoring high on PSI, it would be prudent to ensure initial triage has critdrios missed the presence of sepsis. Whitcomb 28 September In our opinion, the crucial question might be what a scoring system means for the practitioner who treats patients in the real world Emergency Departments.

Pneumonia severity index

Mortalidad tratados antes de 4 horas: This page was last edited on 21 Marchat Diagn Microbiol Infect Dis, 61pp. Although complicated algorithms including multiple variables might be superior and have higher predictive indices, there are other important factors in the assessment of objective admission criteria There were no other exclusion criteria. Si continua navegando, consideramos que acepta su uso.

Greater experience and randomized trials of alternative xe and severity criteria are required. Fine’s publications, visit PubMed. Incidence of community-acquired pneumonia in the population of four municipalities in eastern Finland. Arch Bronconeumol, 41pp.