A prediction rule to identify low-risk patients with community-acquired pneumonia

New England Journal of Medicine

Volumn 336, Issue 4, 1997, Pages 243-250

  Fine, Michael J ^a,e   Auble, Thomas E ^a   Yealy, Donald M ^a   Hanusa, Barbara H ^a   Weissfeld, Lisa A ^b   Singer, Daniel E ^c   Coley, Christopher M ^c   Marrie, Thomas J ^d   Kapoor, Wishwa N ^a  

^a UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF PITTSBURGH GRADUATE SCHOOL OF PUBLIC HEALTH   (United States)

^c MASSACHUSETTS GENERAL HOSPITAL   (United States)

^d QUEEN ELIZABETH II HEALTH SCIENCES CENTRE   (Canada)

^e UNIVERSITY OF PITTSBURGH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; FEMALE; HIGH RISK PATIENT; HOSPITALIZATION; HUMAN; INFECTION RISK; INTENSIVE CARE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; OUTCOMES RESEARCH; PNEUMONIA; PREDICTION; PRIORITY JOURNAL;

ADULT; AGE FACTORS; AGED; COHORT STUDIES; COMMUNITY-ACQUIRED INFECTIONS; DECISION SUPPORT TECHNIQUES; FEMALE; HOSPITALIZATION; HUMANS; MALE; MIDDLE AGED; PNEUMONIA; PROGNOSIS; RISK FACTORS; ROC CURVE; SEVERITY OF ILLNESS INDEX;

EID: 0031012761     PISSN: 00284793     EISSN: None     Source Type: Journal    
DOI: 10.1056/NEJM199701233360402     Document Type: Article

References (45)

1. Garibaldi RA. Epidemiology of community-acquired respiratory tract infections in adults: incidence, etiology, and impact. Am J Med 1985;78:32-7.
2. Medicare and Medicaid statistical supplement, 1995. Health Care Financ Rev 1995;16(September).
3. Dans PE, Charache P, Fahey M, Otter SE. Management of pneumonia in the prospective payment era: a need for more clinician and support service interaction. Arch Intern Med 1984;144:1392-7.
4. La Force FM. Community-acquired lower respiratory tract infections: prevention and cost-control strategies. Am J Med 1985;78:52-7.
5. McMahon LF Jr, Wolfe RA, Tedeschi PJ. Variation in hospital admissions among small areas: a comparison of Maine and Michigan. Med Care 1989;27:623-31.
6. Roos NP, Wennberg JE, McPherson K. Using diagnosis-related groups for studying variations in hospital admissions. Health Care Financ Rev 1988;9(4):53-62.
7. Wennberg JE, Freeman JL, Culp WJ. Are hospital services rationed in New Haven or over-utilised in Boston? Lancet 1987;1:1185-9.
8. Fine MJ, Hough LJ, Medsger AR, et al. Hospital admission decision for patients with community-acquired pneumonia: results from the Pneumonia PORT cohort study. Arch Intern Med (in press).
9. Fine MJ, Smith DN, Singer DE. Hospitalization decision in patients with community-acquired pneumonia: a prospective cohort study. Am J Med 1990;89:713-21.
10. Community-acquired pneumonia in adults in British hospitals in 1982-1983: a survey of aetiology, mortality, prognostic factors and outcome. Q J Med 1987;62:195-220.
11. Daley J, Jencks S, Draper D, Lenhart G, Thomas N, Walker J. Predicting hospital-associated mortality for Medicare patients: a method for patients with stroke, pneumonia, acute myocardial infarction, and congestive heart failure. JAMA 1988;260:3617-24.
12. Farr BM, Sloman AJ, Fisch MJ. Predicting death in patients hospitalized for community-acquired pneumonia. Ann Intern Med 1991;115:428-36.
13. Marrie TJ, Durant H, Yates L. Community-acquired pneumonia requiring hospitalization: 5-year prospective study. Rev Infect Dis 1989;11:586-99.
14. Keeler EB, Kahn KL, Draper D, et al. Changes in sickness at admission following the introduction of the prospective payment system. JAMA 1990;264:1962-8.
15. Kurashi NY, al-Hamdan A, Ibrahim EM, al-Idrissi HY, al-Bayari TH. Community acquired acute bacterial and atypical pneumonia in Saudi Arabia. Thorax 1992;47:115-8.
16. Ortqvist A, Hedlund J, Grillner L, et al. Aetiology, outcome and prognostic factors in community-acquired pneumonia requiring hospitalization. Eur Respir J 1990;3:1105-13.
17. Fine MJ, Orloff JJ, Arisumi D, et al. Prognosis of patients hospitalized with community-acquired pneumonia. Am J Med 1990;88:1N-8N.
18. Fine MJ, Singer DE, Hanusa BH, Lave JR, Kapoor WN. Validation of a pneumonia prognostic index using the MedisGroups Comparative Hospital Database. Am J Med 1993;94:153-9.
19. Fine MJ, Hanusa BH, Lave JR, et al. Comparison of a disease-specific and a generic severity of illness measure for patients with community-acquired pneumonia. J Gen Intern Med 1995;10:359-68.
20. Iezzoni LI, Moskowitz MA. A clinical assessment of MedisGroups. JAMA 1988;260:3159-63.
21. Brewster AC, Karlin BG, Hyde LA, Jacobs CM, Bradbury RC, Chae YM. MEDISGRPS: a clinically based approach to classifying hospital patients at admission. Inquiry 1985;22:377-87.
22. Thomas JW, Ashcraft MLF, Zimmerman J. An evaluation of alternative severity of illness measures for use by university hospitals. Vol. 1. Management summary. Ann Arbor: University of Michigan, School of Public Health, 1986:1-13.
23. Wasson JH, Sox HC, Neff RK, Goldman L. Clinical prediction rules: applications and methodological standards. N Engl J Med 1985;313:793-9.
24. Wasson JH, Sox HC. Clinical prediction rules: have they come of age? JAMA 1996;275:641-2.
25. Selker HP. Criteria for adoption in practice of medical practice guidelines. Am J Cardiol 1993;71:339-41.
26. Coley CM, Hough LJ, Fine MJ, Marrie TJ, Kapoor WN, Singer DE. Causes and timing of death in patients with community-acquired pneumonia. J Gen Intern Med 1996;11:Suppl:45. abstract.
27. Jencks SF, Daley J, Draper D, Thomas N, Lenhart G, Walker J. Interpreting hospital mortality data: the role of clinical risk adjustment. JAMA 1988;260:3611-6.
28. Lave JR, Fine MJ, Sankey SS, Hanusa BH, Weissfeld LA, Kapoor WN. Hospitalized pneumonia: outcomes, treatment patterns, and costs in urban and rural areas. J Gen Intern Med 1996;11:415-21.
29. Manual of the international statistical classification of diseases, injuries, and causes of death. Geneva: World Health Organization, 1977.
30. McNeil BJ, Keeler E, Adelstein SJ. Primer on certain elements of medical decision making. N Engl J Med 1975;293:211-5.
31. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 1982;143:29-36.
32. Breslow NE, Day NE. Statistical methods in cancer research. Vol. 1. The analysis of case-control studies. Lyon, France: International Agency for Research on Cancer, 1980. (IARC scientific publications no. 32.)
33. Collet D. Modelling survival data in medical research. London: Chapman & Hall, 1994:85-7.
34. Wyatt JC, Altman DG. Prognostic models: clinically useful or quickly forgotten? BMJ 1995;311:1539-41.
35. Fine MJ, Smith MA, Carson CA, et al. Prognosis and outcomes of patients with community-acquired pneumonia: a meta-analysis. JAMA 1996; 275:134-41.
36. McCormick D, Singer DE, Coley CM, et al. Variation in length of hospital stay and its relation to medical outcomes in patients with community-acquired pneumonia. J Gen Intern Med 1996;11:Suppl:80. abstract.
37. Fine MJ, Medsger AR, Stone RA, et al. Hospital discharge decision for patients with community-acquired pneumonia: results from the Pneumonia PORT cohort study. Arch Intern Med (in press).
38. Paladino JA, Sperry HE, Backes JM, et al. Clinical and economic evaluation of oral ciprotloxacin after an abbreviated course of intravenous antibiotics. Am J Med 1991;91:462-70.
39. Gentry LO, Rodriguez-Gomez G, Kohler RB, Khan FA, Rytel MW. Parenteral followed by oral ofloxacin for nosocomial and community-acquired pneumonia requiring hospitalization. Am Rev Respir Dis 1992; 145:31-5.
40. Ramirez JA, Srinath L, Ahkee S, Huang A, Raff MJ. Early switch from intravenous to oral cephalosporins in the treatment of hospitalized patients with community-acquired pneumonia. Arch Intern Med 1995;155:1273-6.
41. Weingarten SR, Riedinger MS, Varis G, et al. Identification of low-risk hospitalized patients with pneumonia: implications for early conversion to oral antimicrobial therapy. Chest 1994;105:1109-15.
42. Ehrenkranz NJ, Nerenberg DE, Shultz JM, Slater KC. Intervention to discontinue parenteral antimicrobial therapy in patients hospitalized with pulmonary infections: effect on shortening patient stay. Infect Control Hosp Epidemiol 1992;13:21-32.
43. Moher D, Weinberg A, Hanlon R, Runnalls K. Effects of a medical team coordinator on length of hospital stay. Can Med Assoc J 1992;146:511-5.
44. Bartlett JG, Mundy LM. Community-acquired pneumonia. N Engl J Med 1995;333:1618-24.
45. Coley CM, Li YH, Medsger AR, et al. Preferences for home vs hospital care among low-risk patients with community-acquired pneumonia. Arch Intern Med 1996;156:1565-71.