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    Pneumonia Severity Index (PSI) : Demographic Factors

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    The Pneumonia Severity Index (PSI) is a validated tool that uses clinical and laboratory factors to stratify patients with community-acquired pneumonia (CAP) into risk classes. The PSI score places patients into one of five classes based on their likelihood of death. Classes I-III are at low risk and may be treated as outpatients, while Classes IV-V are at high risk and should usually be hospitalized. The PSI involves calculating a point value for factors like vital signs, coexisting illnesses, and laboratory results to determine the overall risk score and class.

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    Pneumonia Severity Index (PSI) : Demographic Factors

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    teboobadkan
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    The Pneumonia Severity Index (PSI) is a validated tool that uses clinical and laboratory factors to stratify patients with community-acquired pneumonia (CAP) into risk classes. The PSI score places patients into one of five classes based on their likelihood of death. Classes I-III are at low risk and may be treated as outpatients, while Classes IV-V are at high risk and should usually be hospitalized. The PSI involves calculating a point value for factors like vital signs, coexisting illnesses, and laboratory results to determine the overall risk score and class.

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    The Pneumonia Severity Index (PSI) is a validated tool that uses clinical and laboratory factors to stratify patients with community-acquired pneumonia (CAP) into risk classes. The PSI score places patients into one of five classes based on their likelihood of death. Classes I-III are at low risk and may be treated as outpatients, while Classes IV-V are at high risk and should usually be hospitalized. The PSI involves calculating a point value for factors like vital signs, coexisting illnesses, and laboratory results to determine the overall risk score and class.

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    8 views2 pages

    Pneumonia Severity Index (PSI) : Demographic Factors

    Uploaded by

    teboobadkan
    The Pneumonia Severity Index (PSI) is a validated tool that uses clinical and laboratory factors to stratify patients with community-acquired pneumonia (CAP) into risk classes. The PSI score places patients into one of five classes based on their likelihood of death. Classes I-III are at low risk and may be treated as outpatients, while Classes IV-V are at high risk and should usually be hospitalized. The PSI involves calculating a point value for factors like vital signs, coexisting illnesses, and laboratory results to determine the overall risk score and class.

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    RISK STRATIFICATION: SITE-OF-CARE DECISIONS

    Identifying Patients at Low Risk for CAP Mortality


    CURB-65
    Pneumonia Severity Index (PSI)
    Pneumonia Severity Index (PSI) Calculator
    Identifying Patients at High Risk for CAP Mortality
    Questions 3A thru 3C
    Questions 3D thru 3E
    Question #4
    Question #5

    Pneumonia Severity Index (PSI)


    Home > Risk Stratification: Site-of-Care Decisions > Pneumonia Severity Index (PSI)

    The Pneumonia Severity Index, or PSI, is a validated risk stratification instrument which can help in identifying CAP
    patients who can safely be treated with outpatient antibiotics.
    Point values are given for a variety of clinical and laboratory parameters. The PSI involves calculating a score, which
    places a given patient into one of 5 risk classes. Classes I, II, and III are at low risk for death, and may be considered
    for outpatient treatment. Risk classes IV and V should usually be hospitalized.
    Access our online Pneumonia Severity Index calculator.
    Download a PDA version of the PSI calculator.*

    Demographic factors
    Age (in years)
    Men
    Women
    -10
    Nursing home resident
    +10
    Coexisting illnesses
    Neoplastic disease
    +30
    Liver disease
    +20
    Congestive heart failure
    +10
    Cerebrovascular disease
    +10
    Renal disease
    +10
    Findings on physical examination
    Altered mental status
    +20
    Respiratory rate >= 30/min
    +20
    Systolic blood pressure <90 mm +20
    Hg
    Temperature <35C or >= 40C +15
    Pulse >= 125 beats/min
    +10
    Laboratory and radiographic
    findings
    Arterial pH <7.35
    +30
    Blood urea mitrogen >=
    +20
    30/mg/dl (11 mmol/liter)
    Sodium < 130 mmol/liter
    +20
    Glucose >= 250 mg/dl (14
    +10
    mmol/liter)
    +10
    Hematocrit <30%
    Partial pressure of arterial

    +10

    oxygen < 60 mm Hg or oxygen


    saturation < 90%
    Pleural effusion
    +10

    Risk
    Low
    Low
    Low
    Moderate
    High

    Risk Class
    I
    II
    III
    IV
    V

    Stratification of Risk Score


    Score
    Mortality
    Based on algorithm
    0.1%
    <= 70
    0.6%
    71-90
    0.9%
    91-130
    >130

    9.3%
    27.0%

    Outpatient
    treatment
    Hospital
    admission

    * Interactive tool from the Assessment of the Variation and Outcomes of Pneumonia: Pneumonia Patient Outcomes
    Research Team Final Report. AHRQ Publication No. 97-N009.

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