Algorithm

Prediction Model for Identification of Patient Risk for Persons with Community-Acquired Pneumonia


 _________________________________

|Patients with community-acquired |

|pneumonia                        |

|_________________________________|

                |

                |

 ______________\|/________________

|Is the patient over 50 years of  |

|age?                             |-------Yes-------

|_________________________________|                 |

                |                                   |

                | No                                |

 ______________\|/________________                  |

|Does the patient have a history  |                 |

|of any of the following comorbid |       _________\|/________ 

|conditions?                      |      |Assign patient to   |

| o Neoplastic disease            | Yes  |risk class II-V     |

| o Congestive heart failure      |----->|based on prediction |

| o Cerebrovascular disease       |      |model scoring       |

| o Renal disease                 |      |system              |

| o Liver disease                 |      |__________ _________|

|_________________________________|                /|\ 

                |                                   |

                | No                                |

 ______________\|/________________                  |

|Does the patient have any of the |                 |

|following abnormalities on       |                 |

|physical examination?            |                 |

| o Altered mental status         |                 |

| o Pulse: 125/minute or more     |                 |

| o Respiratory rate: 30/minute or|                 |

|   more                          |----Yes----------

| o Systolic blood pressure: less |

|   than 90 mmHg                  |

| o Temperature: less than 35     |

|   degrees C or 40 degrees C or  |

|   more                          |

|_________________________________|

                |

                | No

 ______________\|/________________

|                                 |

|Assign patient to risk class I   |

|_________________________________|

                        


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