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Modified IDSA/ATS Minor Criteria for Severe Community-Acquired Pneumonia Best Predicted Mortality

Modified minor criteria was performed similarly for the prediction of mortality in the retrospective cohort, but better in the validation cohort, compared with CURB score. We are indebted to the nurses, further education physicians, and postgraduates of the Departments of Respiratory Medicine for making contributions to this study. Data Collection A total of patients were enrolled consecutively, and 15 cases were excluded from the retrospective cohort due to exclusion criteria.

The additional omission of hypotension criterion could effectively help to orchestrate an improvement in predicting mortality. What we suggested might constitute 2 more pragmatic rules, which were more suitable for clinic and emergency department, clasifidacion predict mortality from CAP.

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With relatively important differences in the presentation, the prospective tubdrculosis cohort included more severely ill patients. FTWS for the support. Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock.


This might be envisaged to interpret the reason why modified minor criteria was performed better than CURB score for the prediction of mortality in the validation cohort.

We found that the 4 noncontributory or infrequent variables leukopenia, hypothermia, hypotension, and thrombocytopenia could be removed and that the deletion improved PPV and AUC for the prediction of mortality in the 2 cohorts. Eur Respir J ; The validation cohort confirmed a similar pattern x 2P The patients with CAP might be triaged more appropriately according to simplified minor criteria, and most accurately by using the modified version.

Articles from Medicine are provided here courtesy of Wolters Kluwer Health.

Weight of the CURB criteria for community-acquired pneumonia in a very low-mortality-rate setting. A total of 21 cases were excluded from consecutive patients in the validation cohort. The frontal and lateral chest radiographic findings and computed tomographic scan images were classified independently by 2 senior radiologists Liang and Zhao.

American Thoracic Society – Tuberculosis, Pneumonia, and Other Pulmonary Infections

The receiver operating characteristic curves were created and the areas under the curves area under the receiver operating characteristic curves [AUCs] were calculated to illustrate and compare the accuracy of the indices. High values of corresponding indices were confirmed in the validation cohort.

They might help us make more accurate clinical decisions about where these patients should be treated at ICU vs non-ICUand need for advance care. Intern Med ; J Crit Care ; The sensitivity, specificity, positive predictive value, and Youden index of modified minor criteria for mortality prediction were the best pattern in the retrospective cohort.


Second, there were relatively small samples. Hosp Pract ; Laboratory variables were measured by the hospital clinical laboratories. This might be the causation.

This study has 3 main limitations. All statistical analyses were performed with Statistical Package for the Social Science for Windows version Salih et al 7 recently reported that the criteria could be simplified by removing 3 clasifocacion variables leukopenia, thrombocytopenia, and hypothermiabut could not improve the prediction of mortality and intensive care unit ICU admission. The study was funded by the medical science and technology foundation of Guangdong province in No.

Sound site decision can optimize initial antibiotic treatment and is beneficial to reducing mortality. The sensitivities, specificities, positive predictive values PPVsnegative predictive values, and Youden indices were also calculated. Open in a separate window. Zts performance of scores did vary significantly between different studies in different healthcare systems.

Athe planned science and technology project of Shenzhen municipality in No. Causes and factors associated with early failure in hospitalized patients with community-acquired pneumonia.

ATS – American Thoracic Society

First, this was a prospective 2 center, not a multicentre, validation cohort study. The validation cohort confirmed a similar paradigm. Support Center Support Center.