Raţionamentul spitalizării pacienţilor cu pneumonii comunitare cu risc scăzut (scor CURB-65 0-1 puncte)

Abstract

This study investigates the reasons for hospitalization in patients with low-risk (CRB-65/CURB-65 score 0–1) community-acquired pneumonia (CAP), with a view to identifying the potential for improving outpatient management. 1052 patients had low-risk CAP and 726 of these were admitted. Additional markers of severity justifying admission were comorbidities in 45,4–59,6% cases, ranges between 4,5–39,9% were patients with severe CAP (≥ 2 severity criteria), no data about social circumstances for justifying admission. Pneumonia severity scores should be used as an adjunct to clinical judgement, when deciding on hospitalization.