2012
DOI: 10.1111/j.1469-0691.2011.03736.x
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Severity assessment tools in ICU patients with 2009 Influenza A (H1N1) pneumonia

Abstract: The aim of this study was to determine if severity assessment tools (general severity of illness and community-acquired pneumonia specific scores) can be used to guide decisions for patients admitted to the intensive care unit (ICU) due to pandemic influenza A pneumonia. A prospective, observational, multicentre study included 265 patients with a mean age of 42 (±16.1) years and an ICU mortality of 31.7%. On admission to the ICU, the mean pneumonia severity index (PSI) score was 103.2 ± 43.2 points, the CURB-6… Show more

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Cited by 34 publications
(26 citation statements)
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References 22 publications
(28 reference statements)
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“…In addition, that these scoring systems were validated in communities where the main pathogens were bacterial, rather than viral [36]. Similar results were observed in pandemic H1N1 influenza pneumonia studies in which PSI and CURB-65 failed to predict admissions to intensive care or the need for mechanical ventilation [37,38].…”
Section: Discussionsupporting
confidence: 65%
“…In addition, that these scoring systems were validated in communities where the main pathogens were bacterial, rather than viral [36]. Similar results were observed in pandemic H1N1 influenza pneumonia studies in which PSI and CURB-65 failed to predict admissions to intensive care or the need for mechanical ventilation [37,38].…”
Section: Discussionsupporting
confidence: 65%
“…8,47 Consistent with these data, severity assessment tools (general severity of illness and CAP-specific scores) undervalued prognosis and should not be used as instruments to guide decisions on patients requiring ICU admission. 48 A limitation of these scores is that age is the variable with the most weight, and most patients affected by pneumonia during pandemic were younger adults. In addition, other risk factors for severe influenza A(H1N1)pdm09 such as obesity were not included in these scores.…”
Section: Severe Disease (Intensive Care Unit Admission and Mortality)mentioning
confidence: 99%
“…But current CAP severity scores (PSI, CURB‐65 and CRB‐65) in predicting mortality in patients with influenza pneumonia is unpersuasive. Several studies indicated that current CAP severity scores failed to predict mortality in patients due to influenza pneumonia. Only one research pointed out that SMART‐COP presented the best performance to indicate intensive care unit (ICU) admission in patients with H1N1 pneumonia .…”
Section: Introductionmentioning
confidence: 99%