Singanayagam A, Chalmers J D, Hill A T
Department of Respiratory Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK.
QJM. 2009 Jun;102(6):379-88. doi: 10.1093/qjmed/hcp027. Epub 2009 Mar 18.
Severity assessment is an important early step in the management of patients presenting with community-acquired pneumonia. Various pneumonia-specific scores, generic sepsis scores and predictive biomarkers have been proposed as tools to aid clinicians in key management decisions. However, there is no uniform agreement about the optimum severity assessment tool to use. This review provides a summary of current evidence surrounding severity assessment in adult patients presenting with community-acquired pneumonia.
严重程度评估是社区获得性肺炎患者管理中的重要早期步骤。各种针对肺炎的评分、通用脓毒症评分和预测性生物标志物已被提出作为帮助临床医生做出关键管理决策的工具。然而,对于使用何种最佳严重程度评估工具尚无统一共识。本综述总结了目前围绕成年社区获得性肺炎患者严重程度评估的证据。