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Community-Acquired Pneumonia

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Table 1. Pneumonia PORT Severity Index (PSI) Patient Characteristic* Demographic factors Age Male (no. yrs) Female (no. yrs − 10) Nursing home resident (consider as HCAP) Comorbid illnesses Neoplastic disease Liver disease Congestive heart failure Cerebrovascular disease Renal disease Physical examination findings Altered mental status Respiratory rate ≥ 30 breaths/min Systolic blood pressure < 90 mm Hg Temperature < 35°C or > 40°C Pulse > 125 beats/min Laboratory and/or radiographic findings Arterial pH < 7.35 Blood urea nitrogen ≥ 30 mg/dL Sodium < 130 mmol/L Glucose > 250 mg/dL Hematocrit < 30% Hypoxemia by O2 saturation: < 90% by pulse oximetry < 60 mm Hg by arterial blood gas Pleural effusion on baseline radiograph Total Point Score PSI Risk Class I II III IV V (points for each applicable patient characteristic) Characteristic Points Age < 50 yr + no comorbid conditions, normal range vital signs, normal mental status ≤ 70 71 - 90 91 - 130 > 130 Recommended Site of Care Outpatient Outpatient Outpatient/brief inpatient Inpatient Inpatient *Social factors (eg, outpatient support mechanisms, probability of adherence to treatment) not included. +10 +10 — — +10 +30 +20 +10 +10 +10 +20 +20 +20 +15 +10 +30 +20 +20 +10 +10 Points Assigned

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