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Criteria for Hospitalization of Nursing Home Residents for Pneumonia
Jan 6, 2017
•
Mark Morgan
categories:
Pulmonology
Geriatrics & Longevity
Criteria for Hospitalization of Nursing Home Residents for Pneumonia
yes
no
<-- ability to eat and drink
yes
no
<-- pulse of 100 beats per minute or less
yes
no
<-- respiratory rate of 30 breaths per minute or less
yes
no
<-- systolic blood pressure of 90 mm Hg or greater (or a decrease of no more than 20 mm Hg if baseline is less than 100 mm Hg)
yes
no
<-- oxygen saturation of 92% or greater (or 90% or greater in patients with chronic obstructive lung disease)
Result --> Meets
number
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)
out of 5 criteria
Suggestion -->
number
score1=(Q1)+(Q2)+(Q3)+(Q4)+(Q5);score1>4?'Admission to hospital may not be needed':'Admission to hospital is recommended'
References (Hide/Show)
Loeb M, Carusone SC, Goeree R, Walter SD, Brazil K, Krueger P, Simor A, Moss L, Marrie T. Effect of a clinical pathway to reduce hospitalizations in nursing home residents with pneumonia: a randomized controlled trial. JAMA. 2006 Jun 7;295(21):2503-10. PubMed PMID: 16757722.
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