PSI / PORT score — pneumónia súlyosság
30 napos mortalitás és ellátási szint becslése közösségben szerzett pneumóniában (Fine et al., IDSA/ATS).
Demographic factors
Age
Sex
Nursing home resident
Coexisting conditions
Neoplastic disease
Any cancer except basal- or squamous- cell cancer of the skin that was active at the time of presentation or diagnosed within one year of presentation.
Liver disease
Clinical or histologic diagnosis of cirrhosis or another form of chronic liver disease, such as chronic active hepatitis.
Congestive heart failure
Systolic or diastolic ventricular dysfunction documented by history, physical examination, and chest radiograph, echocardiogram, multiple gated acquisition scan or left ventriculogram.
Cerebrovascular disease
Clinical diagnosis of stroke or transient ischemic attack or stroke documented by magnetic resonance imaging or computed tomography.
Renal disease
History of chronic renal disease or abnormal blood urea nitrogen and creatinine concentrations documented in the medical record.
Physical examination findings
Altered mental status
Disorientation with respect to person, place, or time that is not known to be chronic, stupor or coma.
Respiratory rate ≥ 30 breaths/min
Systolic blood pressure < 90 mmHg
Temperature < 35°C or ≥ 40°C
Pulse ≥ 125 beats/min
PSI/PORT score
Answer all questions to see the result
További információk
Figyelmeztetés
Ez az eszköz kizárólag oktatási célra szolgál, és nem jelent vagy helyettesít szakmai tanácsot. Az eszköz nem használható orvosi diagnózis felállítására és/vagy orvosi kezelés nyújtására.
General description
There is considerable variability in rates of hospitalization of patients with community-acquired pneumonia (CAP). The pneumonia severity index (PSI) or PORT Score is a clinical prediction rule that accurately identifies patients with community-acquired pneumonia who are at low risk for death and other adverse outcomes and therefore helps physicians make more rational decisions about hospitalization of these patients.
In PSI the points are assigned based on demographic factors, coexisting illnesses, physical-examination findings and laboratory/radiographic findings identified at presentation. The resulting score stratifies the patients into 5 risk classes, each associated with an estimated mortality rate.
The 2019 Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America on Diagnosis and Treatment of Adults with CAP recommends the PSI as the preferred validated clinical prediction rule used to determine the need for hospitalization in adults diagnosed with CAP, in addition to clinical judgment.
There is considerable variability in rates of hospitalization of patients with community-acquired pneumonia (CAP). The pneumonia severity index (PSI) or PORT Score is a clinical prediction rule that accurately identifies patients with community-acquired pneumonia who are at low risk for death and other adverse outcomes and therefore helps physicians make more rational decisions about hospitalization of these patients.
In PSI the points are assigned based on demographic factors, coexisting illnesses, physical-examination findings and laboratory/radiographic findings identified at presentation. The resulting score stratifies the patients into 5 risk classes, each associated with an estimated mortality rate.
The 2019 Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America on Diagnosis and Treatment of Adults with CAP recommends the PSI as the preferred validated clinical prediction rule used to determine the need for hospitalization in adults diagnosed with CAP, in addition to clinical judgment.
Result ranges
Risk class I
*Risk class II
≤ 70Risk class III
71–90Risk class IV
91–130Risk class V
> 130*Patients, that are younger than 50 years, with no coexisting conditions and no abnormalities on physical examination.
References
Fine M, Auble T, Yealy D, Hanusa B, Weissfeld L, Singer D et al. A Prediction Rule to Identify Low-Risk Patients with Community-Acquired Pneumonia. New England Journal of Medicine. 1997;336(4):243-250.
Verzió
1
Az eszközről
There is considerable variability in rates of hospitalization of patients with community-acquired pneumonia (CAP). The pneumonia severity index (PSI) or PORT Score is a clinical prediction rule that accurately identifies patients with community-acquired pneumonia who are at low risk for death and other adverse outcomes and therefore helps physicians make more rational decisions about hospitalization of these patients.
In PSI the points are assigned based on demographic factors, coexisting illnesses, physical-examination findings and laboratory/radiographic findings identified at presentation. The resulting score stratifies the patients into 5 risk classes, each associated with an estimated mortality rate.
The 2019 Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America on Diagnosis and Treatment of Adults with CAP recommends the PSI as the preferred validated clinical prediction rule used to determine the need for hospitalization in adults diagnosed with CAP, in addition to clinical judgment.
In PSI the points are assigned based on demographic factors, coexisting illnesses, physical-examination findings and laboratory/radiographic findings identified at presentation. The resulting score stratifies the patients into 5 risk classes, each associated with an estimated mortality rate.
The 2019 Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America on Diagnosis and Treatment of Adults with CAP recommends the PSI as the preferred validated clinical prediction rule used to determine the need for hospitalization in adults diagnosed with CAP, in addition to clinical judgment.
