NDLI: Où traiter une pneumopathie aiguë communautaire: évaluation de la sévérité?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Bui, H. N. Vargas, F. Gruson, D. Hilbert, G.
Description	Country affiliation: France Author Affiliation: Bui HN ( Service de réanimation médicale, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, Bordeaux cedex, France. hoang-nam.bui@chu-bordeaux.fr)
Abstract	The assessment of severity. Severity assessment is a key element in the management of community-acquired pneumonia. This assessment will determine the level of diagnostic workup and treatment, as well as the site of care. Several tools have been developed to help this assessment. The Pneumonia Severity Index (PSI) or the CURB-65 can accurately identify patients with a low risk of death who might be considered for outpatient care while those with a high risk of death would be hospitalized. Nevertheless, PSI and CURB-65 are less accurate for identifying patients requiring admission to an intensive care unit (ICU). Different scores, such the American Thoracic Society criteria or the SMART-COP score, were built to predict need for admission to ICU, vasopressors or mechanical ventilation. Each score has its own strengths and weaknesses and physicians must be aware of these limitations. Although, severity assessment tools are useful guides in the management of patients with community acquired pneumonia, clinical judgment must remain decisive.
File Format	HTM / HTML
ISSN	07618425
Issue Number	2
Volume Number	28
e-ISSN	17762588
Journal	Revue des Maladies Respiratoires
Language	French
Publisher	Elsevier
Publisher Date	2011-02-01
Publisher Place	France
Access Restriction	Subscribed
Subject Keyword	Discipline Pulmonary Medicine Pneumonia, Bacterial Diagnosis Therapy Community-acquired Infections Decision Trees Humans Practice Guidelines As Topic Severity Of Illness Index English Abstract Journal Article
Alternative Title	Where to manage community acquired pneumonia? The assessment of severity
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine

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