Which assessments can be used to determine if outpatient treatment or hospitalization is indicated in community-acquired pneumonia (CAP)?

Updated: Sep 30, 2020
  • Author: Justina Gamache, MD; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
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Answer

Severity-of-illness scores or prognostic models, such as the CURB-65 criteria or the Pneumonia Severity Index (PSI) can be used to help identify patients that may be candidates for outpatient treatment and those that may require admission (see below). The Infectious Disease Society of America (IDSA) and American Thoracic Society (ATS) proposed guidelines and criteria to determine the severity of community-acquired pneumonia (CAP), which would affect whether inpatient treatment would occur on the ward or require ICU care. [36] Although many of these predictive models were originally designed for assessment of CAP, a retrospective cohort study determined that they may also be applicable to HCAP. [37]


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