Demographic factors Diastolic BP < = 60 mm Hg PaO2/FiO2 < 250 Multilobar disease Septic Shock

Temperature >= 40 C O2 sat < 90% Recommendation Female 30-Day Mortality Risk class Total score Pleural effusion PO2 < 60 mm Hg Hematocrit < 30% Glucose >= 250 mg/dL Sodium < 130 mEq/L BUN > 30 mg/dL pH < 7.35 Initial laboratory findings Pulse >= 125/min Temperature < 35 C Systolic BP < 90 mmHg Respiratory rate >= 30/min Altered mental status Initial physical examination findings Renal disease Cerebrovascular disease Congestive heart failure Liver disease Neoplastic disease Coexisting conditions Nursing home resident Gender Age  Community Acquired Pneumonia Admission Criteria Male Mechanical Ventilation

Author: Farzin Imani, M.D., Ph.D.

References:

• Metlay JP, Fine MJ. Testing strategies in the initial management of patients with community-acquired pneumonia. Ann Intern Med. 2003 Jan 21;138(2):109-18. Link to PubMed.

• Niederman et al. American Thoracic Society. Guidelines for the management of adults with community-acquired pneumonia. Diagnosis, assessment of severity, antimicrobial therapy, and prevention. Am J Respir Crit Care Med. 2001 Jun;163(7):1730-54. Link to PubMed.