Prognostic evaluation of community-acquired pneumonia and its application in children / 国际儿科学杂志

ABSTRACT

Accurate and timely assessment of pneumonia severity is critical to the diagnosis and treatment of severe pneumonia.An ideal community-acquired pneumonia(CAP)scoring system for children should be early, efficient, accurate and independent, which should be used to predict mortality risk for community acquired pneumonia(CAP)and served as an important reference for admission to intensive care units.Currently, the major scoring systems include pneumonia severity index(PSI)and CURB-65.However, both commonly used scoring criteria have not been applied to the assessment of severity in children because of limitations.A scoring system based on the modified adult pneumonia PIRO scale may be applicable to children, which can help clinicians predict the severity of disease.The purpose of this article is to review current scoring tools for assessing CAP severity and estimating prognosis, and to highlight scoring systems that may be applicable to CAP in children.