Abstract:
PURPOSE OF REVIEW:To describe the current understanding and clinical applicability of severity scoring systems in pneumonia management. RECENT FINDINGS:Severity scores in community-acquired pneumonia are strong markers of mortality, but are not necessarily clinical decision-aid tools. The use of severity scores to support outpatient care in low-risk patients has moderate-to-strong evidence available in the literature, mainly for the pneumonia severity index, and must be applied together with clinical judgment. It is not clear that severity scores are helpful to guide empiric antibiotic treatment. The inclusion of biomarkers and performance status might improve the predictive performance of the well known severity scores in community-acquired pneumonia. We should improve our methods for score evaluation and move toward the development of decision-aid tools. SUMMARY:The application of the available evidence favors the use of severity scoring systems to improve the delivery of care for pneumonia patients. The incorporation of new methodologies and the formulation of different questions other than mortality prediction might help the further development of severity scoring systems, and enhance their support to the clinical decision-making process for the pneumonia-management cascade.
journal_name
Curr Opin Pulm Medjournal_title
Current opinion in pulmonary medicineauthors
Ranzani OT,Taniguchi LU,Torres Adoi
10.1097/MCP.0000000000000468subject
Has Abstractpub_date
2018-05-01 00:00:00pages
227-236issue
3eissn
1070-5287issn
1531-6971journal_volume
24pub_type
杂志文章,评审abstract:PURPOSE OF REVIEW:The purpose of this review is to summarize recent advances in our understanding of the impact sleep disturbances have on our health, with particular focus on the brain. The present review considers the influence of sleep disturbance on the neurovascular unit; the role of sleep disturbance in neurodege...
journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
doi:10.1097/MCP.0000000000000323
更新日期:2016-11-01 00:00:00
abstract::Although asthma is considered to be an inflammatory disease of the airways, neural mechanisms remain very important. Neural control of airways is far more complex than has been previously recognized. In addition to the classic neural pathways, the nonadrenergic, noncholinergic pathway has been described in the airways...
journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
doi:10.1097/00063198-199801000-00004
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
doi:10.1097/MCP.0b013e32835b11f6
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
doi:10.1097/00063198-199603000-00011
更新日期:1996-03-01 00:00:00
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
doi:10.1097/00063198-199511000-00003
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
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更新日期:2009-09-01 00:00:00
abstract:PURPOSE OF REVIEW:The article aims to provide an updated and evidence-based review of the innovative electronic health interventions to monitor and improve inhaler technique and adherence to recommended therapy in asthma. RECENT FINDINGS:Out of the 290 articles identified by the search strategy, 23 manuscripts fulfill...
journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
doi:10.1097/MCP.0000000000000439
更新日期:2018-01-01 00:00:00
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
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更新日期:2003-07-01 00:00:00
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
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更新日期:2002-11-01 00:00:00
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
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更新日期:2013-07-01 00:00:00
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journal_title:Current opinion in pulmonary medicine
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doi:10.1097/01.mcp.0000130329.21799.7b
更新日期:2004-09-01 00:00:00
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journal_title:Current opinion in pulmonary medicine
pub_type: 杂志文章,评审
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
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journal_title:Current opinion in pulmonary medicine
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