Physician judgement is a crucial adjunct to pneumonia severity scores in low-risk patients

European Respiratory Journal

Volumn 38, Issue 3, 2011, Pages 643-648

  Choudhury, G ^a   Chalmers, J D ^a   Mandal, P ^a   Akram, A R ^a   Murray, M P ^a   Short, P ^b   Singanayagam, A ^a   Hill, A T ^a  

^a ROYAL INFIRMARY OF EDINBURGH   (United Kingdom)

^b UNIVERSITY OF DUNDEE   (United Kingdom)

Author keywords

Infection; Infectious diseases pneumonia; Lung

Indexed keywords

OXYGEN;

ACIDOSIS; ADULT; AGED; ARTICLE; CHRONIC DISEASE; CLINICAL DECISION MAKING; COMMUNITY ACQUIRED PNEUMONIA; COMMUNITY CARE; COMORBIDITY; CONTROLLED STUDY; CURB 65 SCORE; DISEASE MARKER; DISEASE SEVERITY; FEMALE; HEART DISEASE; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; HUMAN CELL; HYPOXIA; MAJOR CLINICAL STUDY; MALE; MEDICAL DECISION MAKING; MORTALITY; OBSERVATIONAL STUDY; OUTPATIENT CARE; PRIORITY JOURNAL; PROSPECTIVE STUDY; SCORING SYSTEM; SOCIAL ENVIRONMENT; THORAX RADIOGRAPHY;

ADULT; AGED; COMMUNITY-ACQUIRED INFECTIONS; DECISION MAKING; FEMALE; GREAT BRITAIN; GUIDELINES AS TOPIC; HOSPITALIZATION; HUMANS; INFECTION; LUNG; MALE; MIDDLE AGED; PHYSICIAN'S PRACTICE PATTERNS; PNEUMONIA; PROSPECTIVE STUDIES; PULMONARY MEDICINE; REGRESSION ANALYSIS; RETROSPECTIVE STUDIES; RISK; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME;

EID: 80052961236     PISSN: 09031936     EISSN: 13993003     Source Type: Journal    
DOI: 10.1183/09031936.00172910     Document Type: Article

References (22)

1. Trotter CL, Stuart JM, George R, et al. Increasing hospital admissions for pneumonia, England. Emerg Infect Dis 2008; 14: 727-733. (Pubitemid 351838635)
2. Armstrong GL, Conn LA, Pinner RW, et al. Trends in infectious disease mortality in the United States during the 20th century. JAMA 1999; 281: 61-66. (Pubitemid 29025101)
3. Guest JF, Morris A. Community-acquired pneumonia: the annual cost to the National Health Service in the UK. Eur Respir J 1997; 10: 1530-1534. (Pubitemid 27311067)
4. Chalmers JD, Akram AR, Hill AT. Increasing outpatient treatment of mild community-acquired pneumonia: systemic review and meta-analysis. Eur Respir J 2011; 37: 858-864.
5. Chalmers JD, Al-Khairalla M, Short PM, et al. Proposed changes to management of lower respiratory tract infections in response to the Clostridium difficile epidemic. J Antimicrob Chemother 2010; 65: 608-618.
6. Fine MJ, Auble TE, Yealy DM, et al. A prediction rule to identify low-risk patients with community-acquired pneumonia. N Engl J Med 1997; 336: 243-250. (Pubitemid 27044625)
7. Lim WS, Baudouin SV, George RC, et al. BTS guidelines for the management of community acquired pneumonia in adults: update 2009. Thorax 2009; 64: Suppl. 3, iii1-iii55.
8. Mandell LA, Bartlett JG, Dowell SF, et al. Update of practice guidelines for the management of community-acquired pneumonia in imunocompetent adults. Infectious Diseases Society of America. Clin Infect Dis 2003; 37: 1405-1432. 9 Niederman MS, Mandell LA, Anzueto A, et al. Guidelines for the management of adults with community-acquired pneumonia, diagnosis, assessment of severity, antimicrobial therapy and prevention. Am J Respir Crit Care Med 2001; 163: 1730-1754. (Pubitemid 32578779)
9. Mandell LA, Marrie TJ, Grossman RF, et al. Canadian guidelines for the initial management of community-acquired pneumonia: an evidence-based update by the Canadian Infectious Diseases Society and the Canadian Thoracic Society. The Canadian Community-Acquired Pneumonia Working Group. Clin Infect Dis 2000; 31: 383-421. (Pubitemid 32289568)
10. Lim WS, Van der Erden MM, Laing R, et al. Defining community-acquired pneumonia severity on presentation to hospital: an international derivation and validation study. Thorax 2003; 58: 377-382. (Pubitemid 36560938)
11. Chalmers JD, Singanayagam A, Akram AR, et al. Severity assessment tools for predicting mortality in hospitalized patients with community acquired pneumonia. Systemic review and meta-analysis. Thorax 2010; 65: 878-883.
12. Man SY, Lee N, Ip M, et al. Prospective comparison of three predictive rules for assessing severity of community-acquired pneumonia in Hong Kong. Thorax 2007; 62: 348-353. (Pubitemid 46580578)
13. Buising KL, Thursky KA, Black JF, et al. A prospective comparison of severity scores for identifying patients with severe community-acquired pneumonia: reconsidering what is meant by severe pneumonia. Thorax 2006; 61: 419-424. (Pubitemid 43723326)
14. Aujesky D, Auble TE, Yealy DM, et al. Prospective comparison of three validated prediction rules for prognosis in community acquired pneumonia. Am J Med 2005; 118: 384-392. (Pubitemid 40460997)
15. Aujesky D, McCausland JB, Whittle J, et al. Reasons why emergency department providers do not rely on the pneumonia severity index to determine the initial site of treatment for patients with pneumonia. Clin Infect Dis 2009; 49: e100-e108.
16. Atlas SJ, Benzer TI, Borowsky LH, et al. Safely increasing the proportion of patients with community-acquired pneumonia treated as outpatients: an interventional trial. Arch Intern Med 1998; 158: 1350-1356. (Pubitemid 28287529)
17. Marrie TJ, Lau CY, Wheeler SL, et al. A controlled trial of a critical pathway for treatment of community-acquired pneumonia. CAPITAL Study Investigators. Community-Acquired Pneumonia Intervention Trial assessing levofloxacin. JAMA 2000; 283: 749-755.
18. Carratala J, Fernandez-Sabe N, Ortega L, et al. Outpatient care compared with hospitalization for community-acquired pneumonia: a randomized trial in low-risk patients. Ann Intern Med 2005; 142: 165-172. (Pubitemid 40189108)
19. Yealy DM, Auble TE, Stone RA, et al. Effect of increasing the intensity of implementing pneumonia guidelines: a randomized, controlled trial. Ann Intern Med 2005; 143: 881-894. (Pubitemid 46205946)
20. Renaud B, Coma E, Labarere J, et al. Routine use of the Pneumonia Severity Index for guiding the site-of-treatment decision of patients with pneumonia in the emergency department: a multicenter, prospective, observational, controlled cohort study. Clin Infect Dis 2007; 44: 41-49. (Pubitemid 44968982)
21. Seymann G, Barger K, Choo S, et al. Clinical judgment versus the Pneumonia Severity Index in making the admission decision. J Emerg Med 2008; 34: 261-268.
22. Arnold FW, Ramirez JA, McDonald LC, et al. Hospitalization for community-acquired pneumonia: the Pneumonia Severity Index vs clinical judgement. Chest 2003; 124: 121-124. (Pubitemid 36851342)