From: Validating hospital admission criteria for decision support in 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 |