Table 5.
Model comparison of risk variables related to particular pathogens
| Risk factors/Scores | 60-B-r-I-NG risk score | The IDSA and ATS 2019 [1] | Aliberti score [21] | Shorr score [22] | Shindo score [23] | ARUC score [24] | Tree-structured prediction analysis [25] | Schreiber score [26] | Park score [27] | Score to PES [28] | Resistant bacterial pneumonia risk score [29] | Song tool (HDAP) [30] |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Pathogens | PA | MRSA and PA | MDR | MRSA, PA, and ESBL-E | Drug resistanta | MRSA, S. maltophilia, ESBL-E or CRE | MRSA and PA | MRSA, PA, and ESBL-E | PDRb | PA, ESBL-E, and MRSA | MRSA, PA, and ESBL-E | MDR |
| NG tube feeding prior to admission | ✓ | ✓ | ✓ | |||||||||
| Bronchiectasis | ✓ | ✓ | ✓ | |||||||||
| Immunocompromised status | ✓ | ✓ | ✓ | ✓ | ||||||||
| Other chronic respiratory diseasesc | ✓ | |||||||||||
| Prior respiratory isolation of MRSA or P. aeruginosa | ✓ | |||||||||||
| Recent hospitalization (last 90 d) | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||||||
| Receipt of parenteral antibiotics |
✓ last 90 d |
✓ Last 90 d |
✓ Last 90 d |
✓ Last 30 d |
✓ Last 6 m |
✓ Last 30 d |
✓ Last 30 d |
✓ Last 30 d |
||||
| Cerebrovascular disease | ✓ | |||||||||||
| Diabetes | ✓ | |||||||||||
| COPD | ✓ | ✓ | ||||||||||
| Wound care within 30 d | ✓ | ✓ | ✓ | |||||||||
| Chemotherapy within 30 d | ✓ | |||||||||||
| Home infusion therapy | ✓ | ✓ | ||||||||||
| Chronic kidney disease | ✓ | ✓ | ||||||||||
| Nursing home or LTC facility | ✓ | ✓ | ✓ | ✓ | ✓ | |||||||
| Chronic hemodialysis/ chronic dialysis | ✓ | ✓ | ✓ | ✓ | ✓ | |||||||
| Admitted to the ICU within 24 h | ✓ | |||||||||||
| Use of gastric acid-suppressive agents | ✓ | |||||||||||
| Nonambulatory status | ✓ | |||||||||||
| Bilateral pulmonary infiltration | ✓ | |||||||||||
| Pleural effusion | ✓ | |||||||||||
| PaO2/FiO2 < 300 | ✓ | |||||||||||
| The Activity of Daily Living score | ✓ | |||||||||||
| Age ≥ 40 | ✓ | |||||||||||
| Male | ✓ | |||||||||||
| Altered mental status | ✓ | |||||||||||
| Severe pneumonia | ✓ | |||||||||||
| PSI > 147 | ✓ |
COPD Chronic obstructive pulmonary disease, CRE Carbapenem-resistant Enterobacteriaceae, ESBL-E Extended spectrum β-lactamases-producing Enterobacteriaceae, HDAP Hemodialysis-associated pneumonia, ICU Intensive care unit, LTC Long-term care, MDR Multidrug resistant, MRSA Methicillin-resistant S. aureus, NG tube Nasogastric tube, PA P. aeruginosa, PDR Potentially drug-resistant, PSI Pneumonia severity index
aMethicillin-resistant S. aureus, P. aeruginosa, and ESBL-producing Enterobacteriaceae that were not susceptible to beta-lactams (ceftriaxone or ampicillin-sulbactam), macrolides (azithromycin or clarithromycin), and fluoroquinolones (moxifloxacin, levofloxacin, or garenoxacin)
bMethicillin-resistant S. aureus, P. aeruginosa, A. baumannii, Stenotrophomonas maltophilia, and ESBL-producing Enterobacteriaceae
cAtelectasis, pulmonary fibrosis, and lung bleb