CURB‐65 and SMRT‐CO in the prediction of early transfers to the intensive care unit among patients with community‐acquired pneumonia initially admitted to a general ward

Aim To evaluate the use of pneumonia severity scores for diagnosing community‐acquired pneumonia (CAP) and to assess whether antibiotic prescribing was compliant with guidelines as determined by the calculated pneumonia severity score. Method A retrospective chart review was undertaken of consecutive adults admitted via the emergency department with a diagnosis of CAP during a 6‐month period. Charts were reviewed for symptoms and radiographic evidence of pneumonia and for recorded pneumonia severity scores. Pneumonia severity scores were calculated using CORB, CURB‐65 and SMART‐COP for patients with available data and used to assess compliance with the Therapeutic Guidelines: Antibiotic. Results Of the 204 patients reviewed Of the 204 patients reviewed CURB‐65 and SMART‐COP scores for the remaining 68 patients, 13 (19%), 3 (4.4%) and 1 (3.6%) patients had severe pneumonia. 93% of patients received ceftriaxone. An average of 8% of patients were prescribed antibiotics compliant with the Therapeutic Guidelines: Antibiotic. Compliance varied with the pneumonia severity scoring tool used. Conclusion Pneumonia severity scores were rarely calculated to guide treatment and antibiotic prescribing for CAP. Compliance with the Therapeutic Guidelines: Antibiotic was poor and varied with the pneumonia severity scoring tool used. An easy‐to‐use pneumonia severity score to guide patient admission and choice of antibiotic is needed.

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Pneumonia Severity Scores and Prescribing Antibiotics for Community‐Acquired Pneumonia at an Australian Hospital

Brett¹,

Lam

Baysari

et al. 2013

Pharmacy Practice and Res

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A literature review of severity scores for adults with influenza or community-acquired pneumonia – implications for influenza vaccines and therapeutics

Adams

Tenforde

Chodisetty

et al. 2021

Human Vaccines & Immunotherapeutics

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Guidelines for diagnosis and management of community-and hospital-acquired pneumonia in adults: Joint ICS/NCCP(I) recommendations

et al. 2012

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CURB‐65 and SMRT‐CO in the prediction of early transfers to the intensive care unit among patients with community‐acquired pneumonia initially admitted to a general ward

Abstract: Composite SMRT-CO had a better combination of sensitivity and specificity than CURB-65 for predicting early ICU transfers. Prospective studies to confirm our findings are needed.

Cited by 3 publications

References 19 publications

Pneumonia Severity Scores and Prescribing Antibiotics for Community‐Acquired Pneumonia at an Australian Hospital

Pneumonia Severity Scores and Prescribing Antibiotics for Community‐Acquired Pneumonia at an Australian Hospital

A literature review of severity scores for adults with influenza or community-acquired pneumonia – implications for influenza vaccines and therapeutics

Guidelines for diagnosis and management of community-and hospital-acquired pneumonia in adults: Joint ICS/NCCP(I) recommendations

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