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Community-Acquired Pneumonia in the Emergency Department The CURB-65 score estimates mortality risk for community-acquired pneumonia and helps guide inpatient versus outpatient treatment decisions The PSI PORT score estimates mortality for adult patients with community-acquired pneumonia The SMART-COP score predicts the need for intensive respiratory or vasopressor support in community-acquired pneumonia The DRIP score predicts risk for community
Community-Acquired Pneumonia in the ED: Diagnosis and Management How should risk stratification systems – CURB-65, PSI, SMART-COP, and ATS IDSA criteria – be used to determine treatment and disposition strategies? What are the current recommendations on administration of antibiotics for severe nonsevere CAP in and out of the hospital?
Prediction of Prognosis by Markers in CAP - Medscape The Pneumonia Severity Index and CURB-65 are clinical rules that accurately identify individuals at risk of death However, these scores have some limitations
Biomarkers in Community-acquired Pneumonia - Page 5 - Medscape The established risk scores for CAP are the complicated pneumonia severity index and the simple CURB-65 and CRB65 score However, the scores are validated for the estimation of short-term
Calculated Decisions POWERED BY - EB Medicine 65 does not take into account patients’ comorbidi-ties (eg, COPD), which may have a major impact on outcomes in COVID-19 patients While CURB-65 is considerably faster to compute, with fewer inputs, this advantage matters less in the age of electronic records and resources PSI PORT places a larger emphasis on age than CURB-65, assigning points by absolute age (ie, a 70-year-old gets 70
Community-Acquired Pneumonia in the Emergency Department How good is a chest x-ray? When should you consider a CT if the chest x-ray is normal? Procalcitonin Blood cultures, sputum cultures, urine antigens- are these helpful? CURB-65 vs PSI Antibiotics: major and minor, history of prior infection, and doxy for everyone! Duration - 5 days works Duration - 5 days works A walk through the pathway