Hospital admission decision for patients with community-acquired pneumonia

Stefano Aliberti, Paola Faverio, Francesco Blasi

Research output: Contribution to journalArticlepeer-review

Abstract

Where to treat patients is probably the single most important decision in the management of community-acquired pneumonia (CAP), with a substantial impact on both patients' outcomes and health-care costs. Several factors can contribute to the decision of the site of care for CAP patients, including physicians' experience and clinical judgment and severity scores developed to predict mortality, as well as social and health-care-related issues. The recognition, both in the community and in the emergency department, of the presence of severe sepsis and acute respiratory failure and the coexistence with unstable comorbidities other than CAP are indications for hospital admission. In all the other cases, physician's choice to admit CAP patients should be validated against at least one objective tool of risk assessment, with a clear understanding of each score's limitations.

Original languageEnglish
Pages (from-to)167-176
Number of pages10
JournalCurrent Infectious Disease Reports
Volume15
Issue number2
DOIs
Publication statusPublished - Apr 2013

Keywords

  • Admission
  • CAP
  • Community-acquired pneumonia
  • CRB-65
  • CURB
  • CURB-65
  • Hospitalization
  • Pneumonia
  • Pneumonia Severity Index
  • PSI
  • Severity score

ASJC Scopus subject areas

  • Infectious Diseases

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