The role of pneumonia scores in the emergency room in patients infected by 2009 H1N1 infection


Autoria(s): Brandao-Neto, Rodrigo Antonio; Goulart, Alessandra Carvalho; Cruz Santana, Alfredo Nicodemos; Martins, Herlon Saraiva; Costa Ribeiro, Sabrina Correa; Ho, Li Y.; Chiamolera, Murilo; Magri, Marcelo M. C.; Scalabrini Neto, Augusto; Velasco, Irineu Tadeu
Contribuinte(s)

UNIVERSIDADE DE SÃO PAULO

Data(s)

06/11/2013

06/11/2013

2012

Resumo

Despite the severity of pneumonia in patients with pandemic influenza A infection (H1N1), no validated risk scores associated with H1N1 pneumonia were tested. In this prospective observational study, we analyzed data of consecutive patients in our emergency room, hospitalized because of pneumonia between July and August 2009 in a public hospital in Brazil. The following pneumonia scoring systems were applied: the SMART-COP rule; the Pneumonia Severity Index; and the CURB-65 rule. Of 105 patients with pneumonia, 53 had H1N1 infection. Among them, only 9.5% that had a low risk according to SMART-COP were admitted to ICU, compared with 36.8% of those with the Pneumonia Severity Index score of 1-2 and 49% of those with CURB-65 score of 0-1. The SMART-COP had an accuracy of 83% to predict ICU admission. The SMART-COP rule presented the best performance to indicate ICU admission in patients with H1N1 pneumonia. European Journal of Emergency Medicine 19: 200-202 (C) 2012 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.

Identificador

EUROPEAN JOURNAL OF EMERGENCY MEDICINE, PHILADELPHIA, v. 19, n. 3, supl. 1, Part 2, pp. 200-202, JUN, 2012

0969-9546

http://www.producao.usp.br/handle/BDPI/42702

10.1097/MEJ.0b013e328349ed85

http://dx.doi.org/10.1097/MEJ.0b013e328349ed85

Idioma(s)

eng

Publicador

LIPPINCOTT WILLIAMS & WILKINS

PHILADELPHIA

Relação

EUROPEAN JOURNAL OF EMERGENCY MEDICINE

Direitos

closedAccess

Copyright LIPPINCOTT WILLIAMS & WILKINS

Palavras-Chave #INFLUENZA A #PNEUMONIA #SCORES #COMMUNITY-ACQUIRED PNEUMONIA #ADULTS #EMERGENCY MEDICINE
Tipo

article

original article

publishedVersion