Hospital Admission Decision for Patients with Community-Acquired Pneumonia

被引:7
|
作者
Aliberti, Stefano [1 ]
Faverio, Paola [1 ]
Blasi, Francesco [2 ]
机构
[1] Univ Milano Bicocca, AO San Gerardo, Dept Hlth Sci, Clin Pneumol, Monza, Italy
[2] Univ Milan, IRCCS Fdn Ca Granda, Osped Maggiore Policlin, Dipartimento Fisiopatol & Trapianti, Milan, Italy
关键词
Pneumonia; Community-acquired pneumonia; CAP; Pneumonia Severity Index; PSI; CURB; CURB-65; CRB-65; Hospitalization; Severity score; Admission; LOW-RISK PATIENTS; SEVERITY ASSESSMENT TOOLS; RESPIRATORY-TRACT INFECTIONS; INTENSIVE-CARE-UNIT; PREDICTION RULE; CLINICAL STABILITY; EMERGENCY-DEPARTMENT; ELDERLY-PATIENTS; MANAGEMENT; INDEX;
D O I
10.1007/s11908-013-0323-7
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Where to treat patients is probably the single most important decision in the management of community-acquired pneumonia (CAP), with a substantial impact on both patients' outcomes and health-care costs. Several factors can contribute to the decision of the site of care for CAP patients, including physicians' experience and clinical judgment and severity scores developed to predict mortality, as well as social and health-care-related issues. The recognition, both in the community and in the emergency department, of the presence of severe sepsis and acute respiratory failure and the coexistence with unstable comorbidities other than CAP are indications for hospital admission. In all the other cases, physician's choice to admit CAP patients should be validated against at least one objective tool of risk assessment, with a clear understanding of each score's limitations.
引用
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页码:167 / 176
页数:10
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