Pneumonia severity index (Port Score): Difference between revisions

Revision as of 07:10, 12 March 2011

Port Score

Scoring

Risk Factors	Points
Demographic Factors
Age for men	Age
Age for women	Age -10
Nursing home resident	+10
Coexisting Illnesses
Neoplastic disease (active)	+30
Chronic liver disease	+20
Heart Failure	+10
Cerebrovascular disease	+10
Chronic renal disease	+10
Physical Exam
AMS	+20
RR > 30/min	+20
Sys BP < 90	+20
Temp <35 or >40	+15
Pulse > 125	+10
Lab and xray findings
Arterial pH < 7.35	+30
BUN > 30	+20
Na <130	+20
Glucose > 250	+10
Hematocrit <30%	+10
PaO2 < 60 or SpO2 < 90%	+10
Pleural effusion	+10

Classification

Class	Points	Mortality
I	^^^	0.1%
II	<71	0.6%
III	71-90	2.8%
IV	91-130	8.2%
V	>130	29.2%

^^^Less than age 55 with no other points

Source

2/8/06 DONALDSON (from 'the board')

Authors:

@@ Line 1: / Line 1: @@
-==Port Score==
+== Port Score ==
-===Scoring===
+=== Scoring ===
 {| border="1"
-|
-Risk Factors
-| Points <br />
 |-
-| colspan="2" | '''Demographic Factors '''<br />
+|
+<u>'''Risk Factors'''</u>
+| <u>'''Points<br/>'''</u>
 |-
-| Age for men <br />
+| colspan="2" | '''Demographic Factors '''<br/>
-| Age <br />
 |-
-| Age for women <br />
+| Age for men<br/>
-| Age -10 <br />
+| Age<br/>
 |-
-| Nursing home resident <br />
+| Age for women<br/>
-| +10 <br />
+| Age -10<br/>
 |-
-| '''Coexisting Illnesses '''<br />
+| Nursing home resident<br/>
-|
+| +10<br/>
 |-
-| Neoplastic disease (active) <br />
+| '''Coexisting Illnesses '''<br/>
-| +30 <br />
+| <br/>
 |-
-| Chronic liver disease <br />
+| Neoplastic disease (active)<br/>
-| +20 <br />
+| +30<br/>
 |-
-| Heart Failure <br />
+| Chronic liver disease<br/>
-| +10 <br />
+| +20<br/>
 |-
-| Cerebrovascular disease <br />
+| Heart Failure<br/>
-| +10 <br />
+| +10<br/>
 |-
-| Chronic renal disease <br />
+| Cerebrovascular disease<br/>
-| +10 <br />
+| +10<br/>
 |-
-| '''Physical Exam '''<br />
+| Chronic renal disease<br/>
-|
+| +10<br/>
 |-
-| AMS <br />
+| '''Physical Exam '''<br/>
-| +20 <br />
+| <br/>
 |-
-| RR > 30/min <br />
+| AMS<br/>
-| +20 <br />
+| +20<br/>
 |-
-| Sys BP < 90 <br />
+| RR > 30/min<br/>
-| +20 <br />
+| +20<br/>
 |-
-| Temp <35 or >40 <br />
+| Sys BP < 90<br/>
-| +15 <br />
+| +20<br/>
 |-
-| Pulse > 125 <br />
+| Temp <35 or >40<br/>
-| +10 <br />
+| +15<br/>
 |-
-| '''Lab and xray findings'''<br />
+| Pulse > 125<br/>
-|
+| +10<br/>
 |-
-| Arterial pH < 7.35<br />
+| '''Lab and xray findings'''<br/>
-| +30 <br />
+| <br/>
 |-
-| BUN > 30 <br />
+| Arterial pH < 7.35<br/>
-| +20 <br />
+| +30<br/>
 |-
-| Na <130 <br />
+| BUN > 30<br/>
-| +20 <br />
+| +20<br/>
 |-
-| Glucose > 250 <br />
+| Na <130<br/>
-| +10 <br />
+| +20<br/>
 |-
-| Hematocrit <30% <br />
+| Glucose > 250<br/>
-| +10 <br />
+| +10<br/>
 |-
-| PaO2 < 60 or SpO2 < 90% <br />
+| Hematocrit <30%<br/>
-| +10 <br />
+| +10<br/>
 |-
-| Pleural effusion <br />
+| PaO2 < 60 or SpO2 < 90%<br/>
-| +10 <br />
+| +10<br/>
+|-
+| Pleural effusion<br/>
+| +10<br/>
 |}
-===Classification===
+=== Classification ===
-{| width="172" border="1"
+{| border="1" width="172"
-| '''Class '''<br />
+|-
-| '''Points '''<br />
+| '''Class '''<br/>
-| '''Mortality '''<br />
+| '''Points '''<br/>
+| '''Mortality '''<br/>
 |-
-| I <br />
+| I<br/>
 | ^^^
-| 0.1% <br />
+| 0.1%<br/>
 |-
-| II <br />
+| II<br/>
-| <71 <br />
+| <71<br/>
-| 0.6% <br />
+| 0.6%<br/>
 |-
-| III <br />
+| III<br/>
-| 71-90 <br />
+| 71-90<br/>
-| 2.8% <br />
+| 2.8%<br/>
 |-
-| IV <br />
+| IV<br/>
-| 91-130 <br />
+| 91-130<br/>
-| 8.2% <br />
+| 8.2%<br/>
 |-
-| V <br />
+| V<br/>
-| >130 <br />
+| >130<br/>
-| 29.2% <br />
+| 29.2%<br/>
 |}
 ^^^Less than age 55 with no other points
-==See Also==
+== See Also ==
 Pulm: Pneumonia (Pathogens)
@@ Line 116: / Line 119: @@
 Pulm: Pneumonia (CAP)
-==Source==
+== Source ==
 /8/06 DONALDSON (from 'the board')
-[[Category:Pulm]]
+<br/>[[Category:Pulm]]