Assign points as in the table based on confusion status, urea level, respiratory rate, blood pressure, and age. Pneumonia severity index compared to curb65 in predicting. Curb65 and psi are the most known and used tools that, in association with. Performance of the psi and curb65 scoring systems in. Prediction specificity for mortality reached 98% for a crb 65 of 4 with a curb 65 of 4 or 5. Performance of the psi and curb 65 scoring systems in predicting 30day mortality in healthcareassociated pneumonia article pdf available december 2017 with 51 reads how we measure reads. Clinical management decisions can be made based on the score, as described in the validation study below. To compare the prognostic value of the pneumonia severity index and the severity score for communityacquired pneumonia curb 65 in predicting mortality and the need for icu admission of patients with communityacquired pneumonia referred to our emergency department. Psi fine curb 65 confusion urea 7 mmoll 20 mgdl respiratory rate 30 breathsminute blood pressure systolic 65 years 0,1. By march, cases had been confirmed in all 50 provinces of the country. Criterios medicos, definiciones, indicaciones, contraindicaciones, clasificaciones, diagnosticos. There is a need for changing the cutoffs of the criteria or for finding other scores more suitable for this group for example soar or geriatric global assessment. Pneumonia severity scores royal melbourne hospital. Rx infiltrados pulmonares difusos em ambas as bases, com.
The most widely used scores, psi and curb 65 have limited value in elderly patients. Curb 65 0 and crb 65 0 predicted survival better with 91,7% and 87,5% specificity, correspondingly. Curb 65, crb 65 and cci were compared using receiver operating characteristics roc analysis. Utilidaddelasclasificacionespronosticaseneltratamientodelaneumoniaadquirida existenlimitacionesenelpsi. Herramientas como las escalas curb65 y psi asociadas al criterio clinico permiten. Posthoc genetic analysis has shown that at least 15 strains of the virus had been imported, and community transmission began by midfebruary. Pdf performance of the psi and curb65 scoring systems. Response to antimicrobial therapy was observed in 85% and a change of antimicrobial regime based on culture results occured in 10% 662. In the curb 65 scale 52% rated one point, 27% rated two points, 3,5 % three points and 2% four points.
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