Image: Quincy, Illinois Family Medicine Residency Program
Image: 612 N. 11th, Suite B, Quincy, IL, 62301, 217-224-9484, Fax: 217-224-7950
Email link: quincyfpinfo@siumed.edu
Memory Joggers: Pneumonia - Scoring System


Patient Characteristics Points Assigned
Demographic factor
       Age
          Male
          Female
       Nursing home resident


No. of years of age
No. of years of age - 10
+ 10
Comorbid illnesses
       Neoplastic disease
       Liver disease
       Congestive heart failure
       Cerebrovascular disease
       Renal disease

+ 30
+ 20
+ 10
+ 10
+10
Physical examination finding
       Altered mental status
       Repiratory rate > 30 breaths/min
       Systolic blood pressure < 90 mm Hg
       Temperature < 35° C or > 40 ° C
       Pulse > 125 beats/min

+ 20
+ 20
+ 20
+ 15
+ 10
Laboratory or radiographic finding
       Arterial pH < 7.35
       Blood urea nitrogen > 30 mg/dL
       Sodium < 130 mEq/L
       Glucose > 250 mg/dL
       Hematocrit < 30%
       Arterial partial pressure of O2 < 60 mm Hg
       Pleural effusion

+ 30
+ 20
+ 20
+ 10
+ 10
+ 10
+ 10

Risk Class No. of Points No. of Pts. Mortality % Recommended Care Site
I ____a 3034 0.1 Outpatient
II <= 70 5778 0.6 Outpatient
III 71-90 6790 2.8 Outpatient or brief inpatient
IV 91-130 13,104 8.2 Inpatient
V >130 9333 29.2 Inpatient
a Absence of predictors
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