Implementation of Admission Decision Support for Community-Acquired Pneumonia

• Published in: Chest Vol. 117; no. 5; pp. 1368 - 1377
• Main Authors: Dean, Nathan C., Suchyta, Mary R., Bateman, Kim A., Aronsky, Dominik, Hadlock, Carol J.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.05.2000; American College of Chest Physicians
• Subjects: Adult; Aged; clinical protocols; Community-Acquired Infections - diagnosis; Community-Acquired Infections - therapy; Comorbidity; Decision Support Techniques; Female; Humans; Hypoxia - diagnosis; Hypoxia - therapy; Male; Middle Aged; Patient Admission; Pilot Projects; pneumonia; Pneumonia, Bacterial - diagnosis; Pneumonia, Bacterial - therapy; practice guidelines; Practice Guidelines as Topic; Prospective Studies; Risk Factors; severity of illness index; therapy; ICD-9; pneumonia; PORT; practice guidelines; severity of illness index; therapy; PSI; clinical protocols; patient admission

Considerable variation exists in hospital admission rates for patients with community-acquired pneumonia. Logic to determine need for admission has been proposed by several authors. We compared Intermountain Health Care pneumonia guideline recommendations for inpatient vs outpatient care with actual...