dc.creator | Ewig, Santiago | |
dc.creator | Ruiz, Mauricio | |
dc.creator | Mensa, Josep | |
dc.creator | Marcos, Maria Angeles | |
dc.creator | Martinez, Jose Antonio | |
dc.creator | Arancibia, Francisco | |
dc.creator | Niederman, Michael S. | |
dc.creator | Torres, Antoni | |
dc.date.accessioned | 2019-01-29T17:15:54Z | |
dc.date.available | 2019-01-29T17:15:54Z | |
dc.date.created | 2019-01-29T17:15:54Z | |
dc.date.issued | 1998 | |
dc.identifier | American Journal of Respiratory and Critical Care Medicine, Volumen 158, Issue 4, 2018, Pages 1102-1108 | |
dc.identifier | 1073449X | |
dc.identifier | 10.1164/ajrccm.158.4.9803114 | |
dc.identifier | http://repositorio.uchile.cl/handle/2250/163349 | |
dc.description.abstract | The purpose of the study was to validate the criteria used in the guidelines of the American Thoracic Society (ATS) for severe community- acquired pneumonia (CAP). Severe pneumonia was defined as admission to the intensive care unit (ICU). Overall 331 nonsevere (84%) and 64 severe cases (16%) of CAP were prospectively studied. Mortality was 19 of 395 (5%) and 19 of 64 (30%), respectively. Single severity criteria as well as the ATS definition of severe pneumonia were assessed calculating the operative indices. A modified prediction rule including minor (baseline) and major (baseline or evolutionary) criteria was derived. Single minor criteria at admission had a low sensitivity and positive predictive value. Defining severe pneumonia according to the ATS guidelines had a high sensitivity (98%). However, specificity and positive predictive value were low (32% and 24%, respectively). A modified prediction rule (presence of two or three minor criteria [systolic blood pressure < 90 mm Hg, m | |
dc.language | en | |
dc.publisher | American Lung Association | |
dc.rights | http://creativecommons.org/licenses/by-nc-nd/3.0/cl/ | |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 Chile | |
dc.source | American Journal of Respiratory and Critical Care Medicine | |
dc.subject | Pulmonary and Respiratory Medicine | |
dc.subject | Critical Care and Intensive Care Medicine | |
dc.title | Severe community-acquired pneumonia: Assessment of severity criteria | |
dc.type | Artículos de revistas | |