Pneumonia severity index (Port Score): Difference between revisions
No edit summary
 
(8 intermediate revisions by 4 users not shown)
Line 1: Line 1:
== Port Score    ==
==Use==
*Estimates mortality for adult patients with community-acquired pneumonia


=== Scoring ===
==Scoring==
 
{{Port score}}
{| border="1"
|-
|
<u>'''Risk Factors'''</u>
 
| <u>'''Points<br>'''</u>
|-
| colspan="2" | '''Demographic Factors '''<br>
|-
| Age for men<br>
| Age<br>
|-
| Age for women<br>
| Age -10<br>
|-
| Nursing home resident<br>
| +10<br>
|-
| '''Coexisting Illnesses '''<br>
| <br>
|-
| Neoplastic disease (active)<br>
| +30<br>
|-
| Chronic liver disease<br>
| +20<br>
|-
| Heart Failure<br>
| +10<br>
|-
| Cerebrovascular disease<br>
| +10<br>
|-
| Chronic renal disease<br>
| +10<br>
|-
| '''Physical Exam '''<br>
| <br>
|-
| AMS<br>
| +20<br>
|-
| RR &gt; 30/min<br>
| +20<br>
|-
| Sys BP &lt; 90<br>
| +20<br>
|-
| Temp &lt;35 or &gt;40<br>
| +15<br>
|-
| Pulse &gt; 125<br>
| +10<br>
|-
| '''Lab and xray findings'''<br>
| <br>
|-
| Arterial pH &lt; 7.35<br>
| +30<br>
|-
| BUN &gt; 30<br>
| +20<br>
|-
| Na &lt;130<br>
| +20<br>
|-
| Glucose &gt; 250<br>
| +10<br>
|-
| Hematocrit &lt;30%<br>
| +10<br>
|-
| PaO2 &lt; 60 or SpO2 &lt; 90%<br>
| +10<br>
|-
| Pleural effusion<br>
| +10<br>
|}
 
=== Classification  ===
 
{| border="1" width="172"
|-
| '''Class '''<br>
| '''Points '''<br>
| '''Mortality '''<br>
|-
| I<br>
| &lt;51
| 0.1%<br>
|-
| II<br>
| 51-70
| 0.6%<br>
|-
| III<br>
| 71-90<br>
| 0.9%<br>
|-
| IV<br>
| 91-130<br>
| 9.3%<br>
|-
| V<br>
| &gt;130<br>
| 27%<br>
|}
 
*Classes I and II: consider discharge
*Class III: discharge verus admit based on clinical judgment
*Classes IV and V: consider admission


==See Also==
==See Also==
Line 120: Line 10:
*[[Pneumonia (Peds)]]
*[[Pneumonia (Peds)]]


== Source  ==
==References==
 
<references/>
2/8/06 DONALDSON (from 'the board')
[[Category:ID]]
 
[[Category:Pulmonary]]
[[Category:ID]] [[Category:Pulm]]
[[Category:Featured]]

Latest revision as of 17:35, 16 June 2021

Use

  • Estimates mortality for adult patients with community-acquired pneumonia

Scoring

Pneumonia severity index (Port Score)

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
 <51 0.1%
II
 51-70 0.6%
III
 71-90
 0.9%
IV
 91-130
 9.3%
V
 >130
 27%

Disposition Pathway

  • Classes I and II: consider discharge
  • Class III: discharge verus admit based on clinical judgment
  • Classes IV and V: consider admission

CURB-65

  1. Confusion
  2. bUn > 19 mg/dl
  3. RR > 30
  4. BP < 90 SBP, or < 60 DBP
  5. Age > 65
  • Approximate 30-day mortalities and Tx considerations
    • +1 --> 3%, outpt tx
    • +2 -->7%, inpt, possible outpt
    • +3 --> 14% inpt, possible ICU
    • +4-5 --> 30% ICU

Prognosis

  • Half of patients are still symptomatic at 30 days, with a significant minority of patients experiencing chest pain, malaise or mild dyspnea even 2 to 3 months after treatment
  • In adults with CAP whose symptoms have resolved within 5-7 days, it is not recommended to routinely obtain follow-up chest imaging

See Also

References

Retrieved from "https://www.wikem.org/w/index.php?title=Pneumonia_severity_index_(Port_Score)&oldid=307309"