Predictors of Mortality for Nursing Home-Acquired Pneumonia: A Systematic Review
作者： Naveen Dhawan , Naushira Pandya , Michael Khalili , Manuel Bautista , Anurag Duggal
DOI: 10.1155/2015/285983
关键词:
摘要: Background. Current risk stratification tools, primarily used for CAP, are suboptimal in predicting nursing home acquired pneumonia (NHAP) outcome and mortality. We conducted a systematic review to evaluate current evidence on the usefulness of proposed predictors NHAP Methods. PubMed (MEDLINE), EMBASE, CINAHL databases were searched articles published English between January 1978 2014. The literature search elicited total 666 references; 580 excluded 20 met inclusion criteria final analysis. Results. More studies supported Pneumonia Severity Index (PSI) as superior predictor severity. Fewer suggested CURB-65 SOAR (especially need ICU care) useful There is weak biomarkers like C-reactive protein copeptin prognostic tools. Conclusion. supports use PSI best available indicator while may be an alternative Overall, due paucity information, not effective this role. Larger prospective needed establish most predictor(s) or combination scheme help clinicians decision-making related
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