tetano
Editor, Senior Moderator
Eur J Emerg Med. 2011 Jul 22. [Epub ahead of print]
The role of Pneumonia scores in the emergency room in patients infected by 2009 H1N1 infection.
Brand?o-Neto RA, Goulart AC, Santana AN, Martins HS, Ribeiro SC, Ho LY, Chiamolera M, Magri MM, Scalabrini-Neto A, Velasco IT.
Source
aEmergency Department, Hospital das Cl?nicas, School of Medicine, University of S?o Paulo bDepartment of Internal Medicine, Hospital Universit?rio, School of Medicine cSchool of Medicine dDepartment of Infectious Diseases, Hospital das Cl?nicas, School of Medicine, University of S?o Paulo, S?o Paulo, Brazil eThoracic Unit, Hospital HRAN, ESCS, SES, DF, Brazil.
Abstract
Despite the severity of pneumonia in patients with pandemic influenza A infection (H1N1), no validated risk scores associated with H1N1 pneumonia were tested. In this prospective observational study, we analyzed data of consecutive patients in our emergency room, hospitalized because of pneumonia between July and August 2009 in a public hospital in Brazil. The following pneumonia scoring systems were applied: the SMART-COP rule; the Pneumonia Severity Index; and the CURB-65 rule. Of 105 patients with pneumonia, 53 had H1N1 infection. Among them, only 9.5% that had a low risk according to SMART-COP were admitted to ICU, compared with 36.8% of those with the Pneumonia Severity Index score of 1-2 and 49% of those with CURB-65 score of 0-1. The SMART-COP had an accuracy of 83% to predict ICU admission. The SMART-COP rule presented the best performance to indicate ICU admission in patients with H1N1 pneumonia.
PMID:
21785358
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/21785358
The role of Pneumonia scores in the emergency room in patients infected by 2009 H1N1 infection.
Brand?o-Neto RA, Goulart AC, Santana AN, Martins HS, Ribeiro SC, Ho LY, Chiamolera M, Magri MM, Scalabrini-Neto A, Velasco IT.
Source
aEmergency Department, Hospital das Cl?nicas, School of Medicine, University of S?o Paulo bDepartment of Internal Medicine, Hospital Universit?rio, School of Medicine cSchool of Medicine dDepartment of Infectious Diseases, Hospital das Cl?nicas, School of Medicine, University of S?o Paulo, S?o Paulo, Brazil eThoracic Unit, Hospital HRAN, ESCS, SES, DF, Brazil.
Abstract
Despite the severity of pneumonia in patients with pandemic influenza A infection (H1N1), no validated risk scores associated with H1N1 pneumonia were tested. In this prospective observational study, we analyzed data of consecutive patients in our emergency room, hospitalized because of pneumonia between July and August 2009 in a public hospital in Brazil. The following pneumonia scoring systems were applied: the SMART-COP rule; the Pneumonia Severity Index; and the CURB-65 rule. Of 105 patients with pneumonia, 53 had H1N1 infection. Among them, only 9.5% that had a low risk according to SMART-COP were admitted to ICU, compared with 36.8% of those with the Pneumonia Severity Index score of 1-2 and 49% of those with CURB-65 score of 0-1. The SMART-COP had an accuracy of 83% to predict ICU admission. The SMART-COP rule presented the best performance to indicate ICU admission in patients with H1N1 pneumonia.
PMID:
21785358
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/21785358