Pneumonia severity index (Port Score): Difference between revisions
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== Port Score == | == Port Score == | ||
=== Scoring === | === Scoring === | ||
{| border="1" | {| border="1" | ||
|- | |- | ||
| | | | ||
<u>'''Risk Factors'''</u> | <u>'''Risk Factors'''</u> | ||
| <u>'''Points<br | | <u>'''Points<br>'''</u> | ||
|- | |- | ||
| colspan="2" | '''Demographic Factors '''<br | | colspan="2" | '''Demographic Factors '''<br> | ||
|- | |- | ||
| Age for men<br | | Age for men<br> | ||
| Age<br | | Age<br> | ||
|- | |- | ||
| Age for women<br | | Age for women<br> | ||
| Age -10<br | | Age -10<br> | ||
|- | |- | ||
| Nursing home resident<br | | Nursing home resident<br> | ||
| +10<br | | +10<br> | ||
|- | |- | ||
| '''Coexisting Illnesses '''<br | | '''Coexisting Illnesses '''<br> | ||
| <br | | <br> | ||
|- | |- | ||
| Neoplastic disease (active)<br | | Neoplastic disease (active)<br> | ||
| +30<br | | +30<br> | ||
|- | |- | ||
| Chronic liver disease<br | | Chronic liver disease<br> | ||
| +20<br | | +20<br> | ||
|- | |- | ||
| Heart Failure<br | | Heart Failure<br> | ||
| +10<br | | +10<br> | ||
|- | |- | ||
| Cerebrovascular disease<br | | Cerebrovascular disease<br> | ||
| +10<br | | +10<br> | ||
|- | |- | ||
| Chronic renal disease<br | | Chronic renal disease<br> | ||
| +10<br | | +10<br> | ||
|- | |- | ||
| '''Physical Exam '''<br | | '''Physical Exam '''<br> | ||
| <br | | <br> | ||
|- | |- | ||
| AMS<br | | AMS<br> | ||
| +20<br | | +20<br> | ||
|- | |- | ||
| RR | | RR > 30/min<br> | ||
| +20<br | | +20<br> | ||
|- | |- | ||
| Sys BP | | Sys BP < 90<br> | ||
| +20<br | | +20<br> | ||
|- | |- | ||
| Temp | | Temp <35 or >40<br> | ||
| +15<br | | +15<br> | ||
|- | |- | ||
| Pulse | | Pulse > 125<br> | ||
| +10<br | | +10<br> | ||
|- | |- | ||
| '''Lab and xray findings'''<br | | '''Lab and xray findings'''<br> | ||
| <br | | <br> | ||
|- | |- | ||
| Arterial pH | | Arterial pH < 7.35<br> | ||
| +30<br | | +30<br> | ||
|- | |- | ||
| BUN | | BUN > 30<br> | ||
| +20<br | | +20<br> | ||
|- | |- | ||
| Na | | Na <130<br> | ||
| +20<br | | +20<br> | ||
|- | |- | ||
| Glucose | | Glucose > 250<br> | ||
| +10<br | | +10<br> | ||
|- | |- | ||
| Hematocrit | | Hematocrit <30%<br> | ||
| +10<br | | +10<br> | ||
|- | |- | ||
| PaO2 | | PaO2 < 60 or SpO2 < 90%<br> | ||
| +10<br | | +10<br> | ||
|- | |- | ||
| Pleural effusion<br | | Pleural effusion<br> | ||
| +10<br | | +10<br> | ||
|} | |} | ||
=== Classification === | === Classification === | ||
{| border="1" width="172" | {| border="1" width="172" | ||
|- | |- | ||
| '''Class '''<br | | '''Class '''<br> | ||
| '''Points '''<br | | '''Points '''<br> | ||
| '''Mortality '''<br | | '''Mortality '''<br> | ||
|- | |- | ||
| I<br | | I<br> | ||
| | | <51 | ||
| 0.1%<br | | 0.1%<br> | ||
|- | |- | ||
| II<br | | II<br> | ||
| | | 51-70 | ||
| 0.6%<br | | 0.6%<br> | ||
|- | |- | ||
| III<br | | III<br> | ||
| 71-90<br | | 71-90<br> | ||
| | | 0.9%<br> | ||
|- | |- | ||
| IV<br | | IV<br> | ||
| 91-130<br | | 91-130<br> | ||
| | | 9.3%<br> | ||
|- | |- | ||
| V<br | | V<br> | ||
| | | >130<br> | ||
| | | 27%<br> | ||
|} | |} | ||
*Classes I and II: consider discharge<span class="Apple-style-span" style="font-size: 23px; " /> | |||
*Class III: discharge verus admit based on clinical judgment | |||
*Classes IV and V: consider admission | |||
<span class="Apple-style-span" style="font-size: 23px; ">See Also</span> | |||
[[Pneumonia]] | |||
[[Category:ID]] | [[Pneumonia (Pathogens)]] | ||
[[Category:Pulm]] | |||
[[Pneumonia (Peds)]] | |||
== Source == | |||
2/8/06 DONALDSON (from 'the board') | |||
[[Category:ID]] [[Category:Pulm]] | |||
Revision as of 23:29, 23 July 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 |
<51 | 0.1% |
| II |
51-70 | 0.6% |
| III |
71-90 |
0.9% |
| IV |
91-130 |
9.3% |
| V |
>130 |
27% |
- Classes I and II: consider discharge
- Class III: discharge verus admit based on clinical judgment
- Classes IV and V: consider admission
See Also
Source
2/8/06 DONALDSON (from 'the board')