Reglas de predicción en neumonía adquirida en la comunidad

The determination of site of care is an essential decision in the management of patients with community-acquired pneumonia (CAP). Patients with mild to moderate CAP may be safely treated at home. Instead, those patients with severe pneumonia must be hospitalized to assure an effective treatment. Sev...

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Autor principal:	Jiménez P,Patricio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2004
Materias:	Lung diseases Neumonia bacterial community adquired Prognosis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000900001
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spelling	oai:scielo:S0034-988720040009000012005-11-22Reglas de predicción en neumonía adquirida en la comunidadJiménez P,Patricio Lung diseases Neumonia bacterial Neumonia community adquired Prognosis The determination of site of care is an essential decision in the management of patients with community-acquired pneumonia (CAP). Patients with mild to moderate CAP may be safely treated at home. Instead, those patients with severe pneumonia must be hospitalized to assure an effective treatment. Severity of CAP is associated with mortality that depends both on the patient's frailty and the intensity of lung inflammation. Because there is no single predictor factor to assess prognosis, diverse prediction rules have been developed to establish severity of CAP and guide the decision of site of care. In our country a new prediction rule, derived from hospitalized patients that incorporate simple clinical variables has been developed. However, this rule requires to be validated in the ambulatory setting before its wide spread use is suggested. Prediction rules are objective and relatively accurate models to assess prognosis that may aid clinicians to evaluate patient's risks and to improve hospitalization decisions. Nevertheless, although the prediction rules may guide the initial management of patients with CAP, they are not intended to replace the clinical judgment, which remains as the «art of medicine» (Rev Méd Chile 2004; 132: 1027-30)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.9 20042004-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000900001es10.4067/S0034-98872004000900001
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Lung diseases Neumonia bacterial Neumonia community adquired Prognosis
spellingShingle	Lung diseases Neumonia bacterial Neumonia community adquired Prognosis Jiménez P,Patricio Reglas de predicción en neumonía adquirida en la comunidad
description	The determination of site of care is an essential decision in the management of patients with community-acquired pneumonia (CAP). Patients with mild to moderate CAP may be safely treated at home. Instead, those patients with severe pneumonia must be hospitalized to assure an effective treatment. Severity of CAP is associated with mortality that depends both on the patient's frailty and the intensity of lung inflammation. Because there is no single predictor factor to assess prognosis, diverse prediction rules have been developed to establish severity of CAP and guide the decision of site of care. In our country a new prediction rule, derived from hospitalized patients that incorporate simple clinical variables has been developed. However, this rule requires to be validated in the ambulatory setting before its wide spread use is suggested. Prediction rules are objective and relatively accurate models to assess prognosis that may aid clinicians to evaluate patient's risks and to improve hospitalization decisions. Nevertheless, although the prediction rules may guide the initial management of patients with CAP, they are not intended to replace the clinical judgment, which remains as the «art of medicine» (Rev Méd Chile 2004; 132: 1027-30)
author	Jiménez P,Patricio
author_facet	Jiménez P,Patricio
author_sort	Jiménez P,Patricio
title	Reglas de predicción en neumonía adquirida en la comunidad
title_short	Reglas de predicción en neumonía adquirida en la comunidad
title_full	Reglas de predicción en neumonía adquirida en la comunidad
title_fullStr	Reglas de predicción en neumonía adquirida en la comunidad
title_full_unstemmed	Reglas de predicción en neumonía adquirida en la comunidad
title_sort	reglas de predicción en neumonía adquirida en la comunidad
publisher	Sociedad Médica de Santiago
publishDate	2004
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000900001
work_keys_str_mv	AT jimenezppatricio reglasdeprediccionenneumoniaadquiridaenlacomunidad
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Reglas de predicción en neumonía adquirida en la comunidad

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