Pneumonia Severity Index Score

Age - Men (+ age in years)
Age - Women (+ age in years -10)

Mortality Risk
<70 - Class II; 0.6-0.7%
71-90 - Class III: 0.9-2.8%
91-130 - Class IV: 8.2-9.3%
>130 - Class V: 27-31%

Recommendations:
Class I and II: consider outpatient
Class III: consider brief inpatient
Class IV and V: Admit

 
Nursing Home Resident (+10)
Malignancy (+10)
Liver Disease (+20)
CHF (+10)
Cerebrovascular Disease(+10)
Renal Disease (+10)
AMS (+20)
RR≥30 (+20)
SBP<90 (+10)
T<35 or > 40 (+15)
HR≥125 (+10)
Arterial pH<7.35 (+30) 
BUN≥30 (+20)
Na<130 (+20)
Glc>250 (+10)
Hct<30 (+10)
PaO2<60 (+10)
Pleural Effusion (+10)


 

 

 

Pathogens in Community-Acquire Pneumonia

Hospitalized Patients

ICU patients