A survey on hospitalised community-acquired pneumonia in Italy.

摘要: Background and aim. Community Acquired Pneumonia (CAP) remains a major cause of disease death. We evaluated the levels care, outcome characteristics hospitalised patients with CAP in primary hospital Italy. also investigated value both Severity Index (PSI) modified Appropriateness Evaluation Protocol (AEP) for recognising unnecessary admissions stay CAP. Methods. A retrospective review all charts adult at Manerbio, Brescia, Italy between January 2001 December 2002 was performed. Results. 148 patients; their mean age (±SD) 70 (±17) years; 34% were female. Most (87%) had least concomitant co-morbid disease. The overall survival rate 30 days 88%. All but one death occurred high-risk group according to PSI. On contrary, inappropriate admission AEP high. Patients high PSI score significantly longer length than low-risk group. However, substantial part did not show any justification into charts. Conclusions. PSI, AEP, upon admission, useful evaluating can be assessing appropriateness hospitalisation There is need practical validated tool support physicians decision making regarding early safe discharge