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The pneumonia severity index (PSI) or PORT Score is a clinical prediction rule that medical practitioners can use to calculate the probability of morbidity and mortality among patients with community acquired pneumonia. [1] The PSI/PORT score is often used to predict the need for hospitalization in people with pneumonia. [2]
In children, most deaths (over two million a year) occur in the newborn period. According to a World Health Organization estimate, one in three newborn deaths result from pneumonia. [30] Mortality decreases with age until late adulthood, with the elderly at risk for CAP and its associated mortality.
It is life-threatening in the elderly or those who are immunocompromised. [ 13 ] [ 14 ] The most common treatment is antibiotics and these vary in their adverse effects and their effectiveness. [ 13 ] [ 15 ] Pneumonia is also the leading cause of death in children less than five years of age in low income countries. [ 15 ]
CURB-65, also known as the CURB criteria, is a clinical prediction rule that has been validated for predicting mortality in community-acquired pneumonia [1] and infection of any site. [2] The CURB-65 is based on the earlier CURB score [ 3 ] and is recommended by the British Thoracic Society for the assessment of severity of pneumonia. [ 4 ]
In a prediction rule study, investigators identify a consecutive group of patients who are suspected of having a specific disease or outcome. The investigators then obtain a standard set of clinical observations on each patient and a test or clinical follow-up to define the true state of the patient.
Adults over 65 should get one of the new RSV vaccines, CDC advisors decided. The CDC director must still recommend the shots before doses can be administered.
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