Severity assessment tools to guide ICU admission in community-acquired pneumonia: Systematic review and meta-analysis

Intensive Care Medicine

Volumn 37, Issue 9, 2011, Pages 1409-1420

  Chalmers, James D ^a,b   Mandal, Pallavi ^b   Singanayagam, Aran ^b   Akram, Ahsan R ^b   Choudhury, Gourab ^b   Short, Philip M ^c   Hill, Adam T ^b  

^a UNIVERSITY OF EDINBURGH   (United Kingdom)

^b ROYAL INFIRMARY OF EDINBURGH   (United Kingdom)

^c NINEWELLS HOSPITAL   (United Kingdom)

Author keywords

Intensive care unit; Meta analysis; Pneumonia; Severity assessment

Indexed keywords

AMERICAN THORACIC SOCIETY 2001 CRITERIA; COMMUNITY ACQUIRED PNEUMONIA; COMPARATIVE STUDY; CORB SCORE; CRB65 SCORE; CURB65 SCORE; DISEASE SEVERITY; HEALTH CARE SYSTEM; HOSPITAL ADMISSION; HUMAN; INFECTIOUS DISEASE SOCIETY OF AMERICA 2007 CRITERIA; INTENSIVE CARE UNIT; MEDICAL DECISION MAKING; META ANALYSIS; MORTALITY; NAMED INVENTORIES, QUESTIONNAIRES AND RATING SCALES; PNEUMONIA SEVERITY INDEX; REA ICU SCORE; REVIEW; RISK ASSESSMENT; SCAP SCORE; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; SMART COP SCORE; SYSTEMATIC REVIEW;

COMMUNITY-ACQUIRED INFECTIONS; HUMANS; INTENSIVE CARE UNITS; PATIENT ADMISSION; PNEUMONIA; SENSITIVITY AND SPECIFICITY; SEVERITY OF ILLNESS INDEX;

EID: 80054754800     PISSN: 03424642     EISSN: 14321238     Source Type: Journal    
DOI: 10.1007/s00134-011-2261-x     Document Type: Review

References (55)

1. Mandell LA, Wunderink RG, Anzueto A, Bartlett JG, Campbell GD, Dean NC, Dowell SF, File TM Jr, Musher DM, Niederman MS, Torres A, Whitney CG, Infectious Diseases Society of America, American Thoracic Society (2007) Infectious Disease Society of American/American Thoracic Society Consensus Guidelines for the Management of Community Acquired Pneumonia in Adults. Clin Infect Dis 44:S27-S72 (Pubitemid 46290553)
2. British Thoracic Society (2009) The British Thoracic Society guidelines for the management of community acquired pneumonia in adults. Update 2009. Thorax 64[Suppl 3]:iii1-iii55
3. Singanayagam A, Chalmers JD, Hill AT (2009) Severity assessment in community-acquired pneumonia. Q J Med 102:379-388
4. Restrepo MI, Mortensen EM, Rello J, Brody J, Anzueto A (2010) Late admission to the ICU in patients with community-acquired pneumonia is associated with increased mortality. Chest 137:552-557
5. Niederman MS, Mandell LA, Anzueto A, Bass JB, Broughton WA, Campbell GD, Dean N, File T, Fine MJ, Gross PA, Martinez F, Marrie TJ, Plouffe JF, Ramirez J, Sarosi GA, Torres A, Wilson R, Yu VL, American Thoracic Society (2001) Guidelines for the management of adults with community-acquired pneumonia. Diagnosis, assessment of severity, antimicrobial therapy, and prevention. Am J Respir Crit Care Med 163:1730-1754 (Pubitemid 32578779)
6. Lim WS, van der Eerden MM, Laing R, Boersma WG, Karalus N, Town GI, Lewis SA, Macfarlane JT (2003) Defining community-acquired pneumonia severity on presentation to hospital: an international derivation and validation study. Thorax 58:377-382 (Pubitemid 36560938)
7. Fine MJ, Auble TE, Yealy DM, Hanusa BH, Weissfeld LA, Singer DE, Coley CM, Marrie TJ, Kapoor WN (1997) A prediction rule to identify low-risk patients with community-acquired pneumonia. N Engl J Med 336:243-250 (Pubitemid 27044625)
8. Therapeutic Guidelines Writing Group (2003) Australian community acquired pneumonia guidelines. Version 12. Therapeutic Guidelines Ltd, Melbourne
9. Phua J, See KC, Chan YH, Widjaja LS, Aung NW, Ngerng WJ, Lim TK (2009) Validation and clinical implications of the IDSA/ATS minor criteria for severe community-acquired pneumonia. Thorax 64:598-603
10. Chalmers JD, Singanayagam A, Hill AT (2008) Systolic blood pressure is superior to other haemodynamic predictors of outcome in community acquired pneumonia. Thorax 63:698-702
11. Buising KL, Thursky KA, Robertson MB, Black JF, Street AC, Richards MJ, Brown GV (2006) A prospective comparison of severity scores for identifying patients with severe community-acquired pneumonia: reconsidering what is meant by severe pneumonia. Thorax 61:419-424 (Pubitemid 43723326)
12. Angus DC, Marrie TJ, Obrosky DS, Clermont G, Dremsizov TT, Coley C, Fine MJ, Singer DE, Kapoor WN (2002) Severe community acquired pneumonia. Use of Intensive Care Services and Evaluation of American and British Thoracic Society Diagnostic Criteria. Am J Respir Crit Care Med 166:717-723
13. Yandiola PP, Capelastegui A, Quintana J, Diez R, Gorordo I, Bilbao A, Zalacain R, Menendez R, Torres A (2009) Prospective comparison of severity scores for predicting clinically relevant outcomes for patients hospitalized with community-acquired pneumonia. Chest 135:1572-1579
14. Charles PG, Wolfe R, Whitby M, Fine MJ, Fuller AJ, Stirling R, Wright AA, Ramirez JA, Christiansen KJ, Waterer GW, Pierce RJ, Armstrong JG, Korman TM, Holmes P, Obrosky DS, Peyrani P, Johnson B, Hooy M, Australian Community-Acquired Pneumonia Study Collaboration, Grayson ML (2008) SMART-COP: a tool for predicting the need for intensive respiratory or vasopressor support in community-acquired pneumonia. Clin Infect Dis 47:375-384 (Pubitemid 352009359)
15. España PP, Capelastegui A, Gorordo I, Esteban C, Oribe M, Ortega M, Bilbao A, Quintana JM (2006) Development and validation of a clinical prediction rule for severe community-acquired pneumonia. Am J Respir Crit Care Med 174:1249-1256 (Pubitemid 44924826)
16. Chalmers JD (2009) ICU admission and severity assessment in communityacquired pneumonia. Crit Care 13:156
17. Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, Moher D, Becker BJ, Sipe TA, Thacker SB (2000) Meta-analysis of observational studies in epidemiology. JAMA 283:2008-2012
18. Hayden JA, Cote P, Bombardier C (2006) Evaluation of the quality of prognostic studies in systematic reviews. Ann Intern Med 144:427-437 (Pubitemid 46768164)
19. Chalmers JD, Singanayagam A, Akram AR et al (2010) Severity assessment tools for predicting mortality in hospitalised patients with community acquired pneumonia. Thorax 65:878-883
20. Deeks JJ, Altman DG (2004) Diagnostic tests 4: likelihood ratios. Br Med J 329:168-169
21. Ewig S, Ruiz M, Mensa J, Marcos MA, Martinez JA, Arancibia F, Niederman MS, Torres A (1998) Severe community-acquired pneumonia. Assessment of severity criteria. Am J Respir Crit Care Med 158:1102-1108 (Pubitemid 28489008)
22. Ewig S, Seifert K, Kleinfeld T, Göke N, Schäfer H (2000) Management of patients with community-acquired pneumonia in a primary care hospital: a critical evaluation. Respir Med 94:556-563 (Pubitemid 30599234)
23. Feagan BG, Marrie TJ, Lau CY, Wheeler SL, Wong CJ, Vandervoort MK (2000) Treatment and outcomes of community-acquired pneumonia at Canadian hospitals. Can Med Assoc J 162:1415-1420 (Pubitemid 30340307)
24. Rosón B, Carratalà J, Dorca J, Casanova A, Manresa F, Gudiol F (2001) Etiology, reasons for hospitalization, risk classes and outcomes of community-acquired pneumonia in patients hospitalized on the basis of conventional admission criteria. Clin Infect Dis 33:158-165 (Pubitemid 32643329)
25. van der Eerden MM, de Graaff CS, Bronsveld W, Jansen HM, Boersma WG (2004) Prospective evaluation of pneumonia severity index in hospitalised patients with communityacquired pneumonia. Respir Med 98:872-878 (Pubitemid 39069337)
26. Lamy O, Van Melle G, Cornuz J, Burnand B (2004) Clinical management of immunocompetent hospitalized patients with community-acquired pneumonia. Eur J Intern Med 15:28-34 (Pubitemid 38453039)
27. Riley PD, Aronsky D, Dean NC (2004) Validation of the 2001 American Thoracic Society criteria for severe community-acquired pneumonia. Crit Care Med 32:2398-2402 (Pubitemid 39648219)
28. Ewig S, de Roux A, Bauer T, García E, Mensa J, Niederman M, Torres A (2004) Validation of predictive rules and indices of severity for communityacquired pneumonia. Thorax 59:421-427 (Pubitemid 38624749)
29. Capelastegui A, España PP, Quintana JM, Areitio I, Gorordo I, Egurrola M, Bilbao A (2006) Validation of a predictive rule for the management of community-acquired pneumonia. Eur Respir J 27:151-157 (Pubitemid 43092679)
30. Spindler C, Ortqvist A (2006) Prognostic score systems and community-acquired bacteraemic pneumococcal pneumonia. Eur Respir J 28:816-823 (Pubitemid 46332004)
31. Migliorati PL, Boccoli E, Bracci LS, Sestini P, Melani AS (2006) A survey on hospitalised community-acquired pneumonia. Monaldi Arch Chest Dis 65:82-88
32. Marrie TJ, Shariatzadeh MR (2007) Community-acquired pneumonia requiring admission to an intensive care unit: a descriptive study. Medicine (Baltimore) 86:103-111 (Pubitemid 46668059)
33. Man SY, Lee N, Ip M, Antonio GE, Chau SS, Mak P, Graham CA, Zhang M, Lui G, Chan PK, Ahuja AT, Hui DS, Sung JJ, Rainer TH (2007) Prospective comparison of three predictive rules for assessing severity of communityacquired pneumonia in Hong Kong. Thorax 62:348-353 (Pubitemid 46580578)
34. Renaud B, Coma E, Labarere J, Hayon J, Roy PM, Boureaux H, Moritz F, Cibien JF, Guérin T, Carré E, Lafontaine A, Bertrand MP, Santin A, Brun-Buisson C, Fine MJ, Roupie E, Pneumocom Study Investigators (2007a) Routine use of the pneumonia severity index for guiding the site-oftreatment decision of patients with pneumonia in the emergency department: a multicenter, prospective, observational, controlled cohort study. Clin Infect Dis 44:41-49 (Pubitemid 44968982)
35. Renaud B, Coma E, Hayon J, Gurgui M, Longo C, Blancher M, Jouannic I, Betoulle S, Roupie E, Fine MJ, PNEUMOCOM study investigators (2007b) Investigation of the ability of the Pneumonia Severity Index to accurately predict clinically relevant outcomes: a European study. Clin Microbiol Infect 13:923-931 (Pubitemid 47244143)
36. Etzion O, Novack V, Avnon L, Porath A, Dagan E, Riesenberg K, Avriel A, Schlaeffer F (2007) Characteristics of low-risk patients hospitalized with community-acquired pneumonia. Eur J Intern Med 18:209-214 (Pubitemid 46601874)
37. Restrepo MI, Mortensen EM, Velez JA, Frei C, Anzueto A (2008) A comparative study of communityacquired pneumonia patients admitted to the ward and the ICU. Chest 133:610-617 (Pubitemid 351367367)
38. Garau J, Baquero F, Pérez-Trallero E, Pérez JL, Martín-Sánchez AM, García-Rey C, Martín-Herrero JE, Dal-Ré R, NACER Group (2008) Factors impacting on length of stay and mortality of community-acquired pneumonia. Clin Microbiol Infect 14:322-329 (Pubitemid 351356522)
39. Ananda-Rajah MR, Charles PG, Melvani S, Burrell LL, Johnson PD, Grayson ML (2008) Comparing the pneumonia severity index with CURB-65 in patients admitted with community acquired pneumonia. Scand J Infect Dis 40:293-300 (Pubitemid 351447991)
40. Liapikou A, Ferrer M, Polverino E, Balasso V, Esperatti M, Piñer R, Mensa J, Luque N, Ewig S, Menendez R, Niederman MS, Torres A (2009) Severe community-acquired pneumonia: validation of the infectious diseases society of America/American Thoracic society guidelines to predict an intensive care unit admission. Clin Infect Dis 48:377-385
41. Feldman C, Alanee S, Yu VL, Richards GA, Ortqvist A, Rello J, Chiou CC, Chedid MB, Wagener MM, Klugman KP, International Pneumococcal Study Group (2009) Severity of illness scoring systems in patients with bacteraemic pneumococcal pneumonia: implications for the intensive care unit care. Clin Microbiol Infect 15:850-857
42. Kontou P, Kuti JL, Nicolau DP (2009) Validation of the Infectious Diseases Society of America/American Thoracic Society criteria to predict severe community-acquired pneumonia caused by Streptococcus pneumoniae. Am J Emerg Med 27:968-974
43. Brown SM, Jones BE, Jephson AR, Dean NC (2009) Validation of the Infectious Disease Society of America/American Thoracic Society 2007 guidelines for severe communityacquired pneumonia. Crit Care Med 37:3010-3016
44. Buising KL, Thursky KA, Black JF, MacGregor L, Street AC, Kennedy MP, Brown GV (2007) Identifying severe community-acquired pneumonia in the emergency department: a simple clinical prediction tool. Emerg Med Aust 19:418-426 (Pubitemid 47547572)
45. Renaud B, Labarère J, Coma E, Santin A, Hayon J, Gurgui M, Camus N, Roupie E, Hémery F, Hervé J, Salloum M, Fine MJ, Brun-Buisson C (2009) Risk stratification of early admission to the intensive care unit of patients with no major criteria of severe communityacquired pneumonia: development of an international prediction rule. Crit Care 13:R54
46. Chalmers JD, Singanayagam A, Hill AT (2008) Predicting the need for mechanical ventilation and/or inotropic support for young adults admitted to the hospital with community-acquired pneumonia. Clin Infect Dis 47:1571-1574
47. Charles PG, Davis JS, Grayson ML (2009) Rocket science and the infectious diseases society of American/American Thoracic Society (IDSA/ATS) guidelines for severe communityacquired pneumonia. Clin Infect Dis 48:1796
48. Charles PG (2008) Predicting the need for ICU in community-acquired pneumonia. Chest 133:587 (Pubitemid 351272431)
49. Restrepo MI, Bienen T, Mortensen EM, Anzueto A, Metersky ML, Escalante P, Wunderink RG, Mangura BT, Chest Infections Network (2008) Evaluation of ICU admission criteria and diagnostic methods for patients with severe community-acquired pneumonia: current practice survey. Chest 133:828-829 (Pubitemid 351367400)
50. Buising KL, Thursky KA, Black JF, Brown GV (2004) Are the Australian guidelines asking too much of the Pneumonia Severity Index (PSI)? Med J Aust 180:486-487 (Pubitemid 38628453)
51. Ewig S, Birkner N, Strauss R, Schaefer E, Pauletzki J, Bischoff H, Schraeder P, Welte T, Hoeffken G (2009) New perspectives on community-acquired pneumonia in 388,406 patients. Results from a nationwide mandatory performance measurement programme in healthcare quality. Thorax 64:1062-1069
52. Marrie TJ, Fine MJ, Kapoor WN, Coley CM, Singer DE, Obrosky DS (2002) Community-acquired pneumonia and do not resuscitate orders. J Am Geriatr Soc 50:290-299 (Pubitemid 34132429)
53. Mortensen EM, Coley CM, Singer DE, Marrie TJ, Obrosky DS, Kapoor WN, Fine MJ (2002) Causes of death for patients with community-acquired pneumonia: results from the Pneumonia Patient Outcomes Research Team cohort study. Arch Intern Med 162:1059-1064 (Pubitemid 34492537)
54. Valencia M, Badia JR, Cavalcanti M, Ferrer M, Agustí C, Angrill J, García E, Mensa J, Niederman MS, Torres A (2007) Pneumonia severity index class V patients with community acquired pneumonia: characteristics, outcomes and value of severity scores. Chest 132:515-522 (Pubitemid 47282383)
55. Schuetz P, Koller M, Christ-Crain M, Steyerberg E, Stolz D, Mü ller C, Bucher HC, Bingisser R, Tamm M, Müller B (2008) Predicting mortality with pneumonia severity scores: importance of model recalibration to local settings. Epidemiol Infect 136:1628-1637