Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10444
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dc.contributor.authorAnanda-Rajah, Michelle Ren
dc.contributor.authorCharles, Patrick G Pen
dc.contributor.authorMelvani, Sharmilaen
dc.contributor.authorBurrell, Laurelle Len
dc.contributor.authorJohnson, Paul D Ren
dc.contributor.authorGrayson, M Lindsayen
dc.date.accessioned2015-05-15T23:53:40Z
dc.date.available2015-05-15T23:53:40Z
dc.date.issued2008en
dc.identifier.citationScandinavian Journal of Infectious Diseases; 40(4): 293-300en
dc.identifier.govdoc17918017en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/10444en
dc.description.abstractPneumonia 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 died within 30 d (94% vs 62%; p < 0.001), and those that needed ICU (86% vs 61%; p = 0.01). In addition, for the patients identified as 'low risk' by PSI (classes I/II), there was only 1 death and 1 admission to an ICU compared to 8 deaths and 7 ICU admissions with CURB-65 scores of 0-1. Although easier to use, CURB-65 is neither sensitive nor specific for predicting mortality in CAP patients. Neither rule was sufficiently accurate for predicting need for an ICU, even when patients with 'not for resuscitation' orders were excluded.en
dc.language.isoenen
dc.subject.otherAdulten
dc.subject.otherAgeden
dc.subject.otherAged, 80 and overen
dc.subject.otherCommunity-Acquired Infections.diagnosis.mortality.physiopathologyen
dc.subject.otherFemaleen
dc.subject.otherHospital Mortalityen
dc.subject.otherHospitalization.statistics & numerical dataen
dc.subject.otherHumansen
dc.subject.otherIntensive Care Units.statistics & numerical dataen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherPneumonia.diagnosis.mortality.physiopathologyen
dc.subject.otherPredictive Value of Testsen
dc.subject.otherSensitivity and Specificityen
dc.subject.otherSeverity of Illness Indexen
dc.titleComparing the pneumonia severity index with CURB-65 in patients admitted with community acquired pneumonia.en
dc.typeJournal Articleen
dc.identifier.journaltitleScandinavian journal of infectious diseasesen
dc.identifier.affiliationDepartment of Infectious Diseases, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.doi10.1080/00365540701663381en
dc.description.pages293-300en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/17918017en
dc.type.austinJournal Articleen
item.grantfulltextnone-
item.languageiso639-1en-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
crisitem.author.deptGeneral Medicine-
crisitem.author.deptInfectious Diseases-
crisitem.author.deptInfectious Diseases-
crisitem.author.deptInfectious Diseases-
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