Table 1.
Severity assessment tools and recommended hospital admission criteria for patients with pneumonia
| CURB-65: | Confusion (not oriented to person, place, or time) |
| Admission recommended for score of 2 or greater | Uremia: Blood urea nitrogen > 7 mmol/L or 9 mg/dL |
| Respiratory Rate: ≥ 30 breaths per minute | |
| Blood Pressure: systolic < 90 mmHg or diastolic < 60 mmHg | |
| Age: > 65 years | |
| A-DROP: | Age: ≥ 70 males, ≥ 75 females |
| Admission recommended for score of 2 or greater | Dehydration: blood urea nitrogen ≥ 210 mg/dL |
| Respiratory failure: ambient SpO2 ≤ 90% or PaO2 ≤ 60 mmHg | |
| Orientation disturbance: confusion | |
| Pressure: systolic blood pressure ≤ 90 mmHg | |
| SCAP: | Major criteria: |
| ICU admission recommended for ≥ 1 Major Criteria, OR ≥ 2 Minor Criteria | Invasive mechanical ventilation |
| Septic Shock with the need for vasopressors | |
| Minor criteria: | |
| Respiratory rate ≥ 30 breaths/minute | |
| Multilobar involvement | |
| PaO2:FiO2 < 250 mmHg | |
| Confusion | |
| Uremia: Blood urea nitrogen ≥ 20 mg/dL | |
| Leukopenia: WBC count < 4000 cells/mm3 | |
| Thrombocytopenia (platelet count < 100,000 cells/mm3 | |
| Hypothermia (temperature ≤ 36C | |
| Hypotension requiring aggressive fluid resuscitation | |
| Our admission criteria: | eCURB 30-day mortality estimate ≤ 5% |
| Admission recommended for any of the following criteria | PaO2:FiO2 ratio < 280 mmHg |
| ≥ 3 minor SCAP criteria | |
| Altitude adjusted PaO2:FiO2 ratio = Actual | |
| PaO2:FiO2/0.85 |