| Compliance in the measurement of CURB-65 in patients with community acquired pneumonia and potential implications for early discharge. | |
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MedLine Citation:
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PMID: 18624261 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The CURB-65 community-acquired pneumonia (CAP) severity score is a convenient 5-variable disease-specific tool validated to predict mortality and the decision to admit. This prospective study seeks to determine (a) the accuracy CAP diagnosis; (b) the degree to which the CURB-65 score was being documented; and (c) the degree to which CURB-65 was being utilised as an admission and early discharge tool in the A&E Department in the evaluation of patients presenting with CAP. Of 45 patients referred with an admitting diagnosis of CAP, 28 were subsequently found to satisfy the criteria of CAP, an over diagnosis of 38%. Documentation of CURB-65 was 7%; recording of core variables was 81% i.e. 4 out of 5 variables and confusion was the variable least likely to be documented. On re-scoring, 50% of patients had a score of 0 or 1 and a further 28% had a score of 2. We conclude that CAP is significantly overdiagnosed; that the CURB-65 severity score is not being utilised and that between 50 and 78% of patients with CAP may be admitted unnecessarily. This study raises important issues in the current management of CAP in the Irish Healthcare system. |
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Authors:
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P Nadarajan; L Wilson; B Mohammed; M Connor; S J Lane |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Irish medical journal Volume: 101 ISSN: 0332-3102 ISO Abbreviation: Ir Med J Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-07-15 Completed Date: 2008-09-10 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0430275 Medline TA: Ir Med J Country: Ireland |
Other Details:
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Languages: eng Pagination: 144-6 Citation Subset: IM |
Affiliation:
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Department of Respiratory Medicine, AMNCH, Tallaght, Dublin. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Community-Acquired Infections / diagnosis*, physiopathology Female Health Status Indicators Humans Lung Compliance Male Medical Audit Middle Aged Pneumonia / diagnosis*, physiopathology Prospective Studies Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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