Hospital admission decision for patients with community-acquired pneumonia: Variability among physicians in an emergency department

Annals of Emergency Medicine

Volumn 59, Issue 1, 2012, Pages 35-41

  Dean, Nathan C ^a   Jones, Jason P ^b   Aronsky, Dominik ^c   Brown, Samuel ^a   Vines, Caroline G ^a   Jones, Barbara E ^a   Allen, Todd ^a,d  

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

^b KAISER PERMANENTE   (United States)

^c VANDERBILT UNIVERSITY HOSPITAL   (United States)

^d LDS HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CLINICAL DECISION MAKING; COMMUNITY ACQUIRED PNEUMONIA; DISEASE SEVERITY; EMERGENCY MEDICINE; FEMALE; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; LABORATORY TEST; MAJOR CLINICAL STUDY; MALE; MORTALITY; OUTPATIENT CARE; PHYSICIAN; PRIORITY JOURNAL; RESIDENTIAL CARE; THORAX RADIOGRAPHY; TREATMENT OUTCOME;

AGED; COMMUNITY-ACQUIRED INFECTIONS; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; MIDDLE AGED; PATIENT ADMISSION; PHYSICIAN'S PRACTICE PATTERNS; PNEUMONIA; SEVERITY OF ILLNESS INDEX;

EID: 83655201385     PISSN: 01960644     EISSN: 10976760     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2011.07.032     Document Type: Article

References (30)

1. Center for Health Statistics Health, United States, April 24 2008 http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr5610.pdf Accessed June 7, 2010
2. B.J. Marston, J.F. Plouffe, T.M. File Incidence of community-acquired pneumonia requiring hospitalization. Results of a population-based active surveillance study in Ohio. The Community-Based Pneumonia Incidence Study Group Arch Intern Med 157 1997 1709 1718
3. M.S. Niederman, J.S. McCombs, A.N. Unger The cost of treating community-acquired pneumonia Clin Ther 20 1998 820 837
4. L.A. Mandell, R.G. Wunderink, A. Anzueto Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults Clin Infect Dis 44 suppl 2 2007 S27 S72
5. J. Labarere, R.A. Stone, D.S. Obrosky Comparison of outcomes for low-risk outpatients and inpatients with pneumonia: a propensity-adjusted analysis Chest 131 2007 480 488
6. J. Carratal, N. Fernández-Sabé, L. Ortega Outpatient care compared with hospitalization for community-acquired pneumonia: a randomized trial in low-risk patients Ann Intern Med 142 2005 165 172
7. C.M. Coley, Y.H. Li, A.R. Medsger Preferences for home vs hospital care among low-risk patients with community-acquired pneumonia Arch Intern Med 156 1996 1565 1571
8. M.F. Minogue, C.M. Coley, M.J. Fine Patients hospitalized after initial outpatient treatment for community-acquired pneumonia Ann Emerg Med 31 1998 376 380
9. L.F. McMahon Jr, R.A. Wolfe, P.J. Tedeschi Variation in hospital admissions among small areas: a comparison of Maine and Michigan Med Care 27 1989 623 631
10. G.E. Rosenthal, D.L. Harper, A. Shah A regional evaluation of variation in low-severity hospital admissions J Gen Intern Med 12 1997 416 422
11. American Thoracic Society Guidelines for the initial management of adults with community acquired pneumonia: diagnosis, assessment of severity, and initial antimicrobial therapy Am Rev Respir Dis 148 1993 1418 1426
12. N.C. Dean, M.P. Silver, K.A. Bateman Decreased mortality after implementation of a treatment guideline for community-acquired pneumonia Am J Med 110 2001 451 457
13. W.S. Lim, M.M. van der Eerden, R. Laing Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study Thorax 58 2003 377 382
14. N.C. Dean, K.A. Bateman Local guidelines for community-acquired pneumonia: development, implementation, and outcome studies Infect Dis Clin North Am 18 2004 975 991
15. B.E. Jones, J. Jones, T. Bewick CURB-65 pneumonia severity assessment adapted for electronic decision support Chest 140 2011 156 163
16. D. Aronsky, P.J. Haug, C. Lagor Accuracy of administrative data for identifying patients with pneumonia Am J Med Qual 20 2005 319 328
17. M.S. Niederman, D. Craven, M.J. Bonten Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia Am J Respir Crit Care Med 171 2005 388 416
18. S.M. Brown, B. Jones, A.J. Jephson Validating the ATS-IDSA 2007 Predictors of Severe Community-Acquired Pneumonia (SCAP) Crit Care Med 37 2009 3010 3016
19. 2 dissociation computations J Appl Physiol 46 1979 599 602
20. D. Aronsky, E. Kasworm, J.A. Jacobson Electronic screening of dictated reports to identify patients with do-not-resuscitate status J Am Med Inform Assoc 11 2004 403 409
21. M. Skolnick The Utah Genealogical Database: a resource for genetic epidemiology J.L. Cairns, M. Skolnick, Banbury Report No 4: Cancer Incidence in Defined Populations 1980 Cold Spring Harbor Laboratory New York, NY 285 297
22. R Development Core Team R: A Language and Environment for Statistical Computing 2010 R Foundation for Statistical Computing Vienna, Austria http://www.R-project.org Accessed April 15, 2011
23. S.J. Atlas, T.I. Benzer, L.H. Borowsky Safely increasing the proportion of patients with community-acquired pneumonia treated as outpatients: an interventional trial Arch Intern Med 158 1998 1350 1356
24. T.J. Marrie, C.Y. Lau, S.L. Wheeler A controlled trial of a critical pathway for treatment of community-acquired pneumonia. CAPITAL Study Investigators. Community-Acquired Pneumonia Intervention Trial Assessing Levofloxacin JAMA 283 2000 749 755
25. D.M. Yealy, T.E. Auble, R.A. Stone Effect of increasing the intensity of implementing pneumonia guidelines: a randomized, controlled trial Ann Intern Med 143 2005 881 894
26. A. Capelastegui, P.P. Espana, J.M. Quintana Validation of a predictive rule for the management of community-acquired pneumonia Eur Respir J 27 2006 151 157
27. N.C. Dean, M. Suchyta, K. Bateman Implementation of admission decision support for community-acquired pneumonia Chest 117 2000 1368 1377
28. D. Aujesky, J.B. McCausland, J. Whittle 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 49 2009 e100 e108
29. E.A. Halm, C. Horowitz, A. Silver Limited impact of a multicenter intervention to improve the quality and efficiency of pneumonia care Chest 126 2004 100 107
30. R.W. Lee, S.T. Lindstrom A teaching hospital's experience applying the Pneumonia Severity Index and antibiotic guidelines in the management of community-acquired pneumonia Respirology 12 2007 754 758