Pneumonia severity index (Port Score): Difference between revisions

(Created page with "==Scoring== 1. AGE men +age women +age - 10 2. COMORBID nursing home +10 CA +30 liver dz +20 CHF +10 H/O CVA +10 renal dz +10 3. PHYSICAL EXAM AMS +20 RR>30 +...")
 
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==Scoring==
==Port Score==




1. AGE


men +age
===Step 1:===


women +age - 10


   
   


2. COMORBID


nursing home +10


CA +30


liver dz +20
===Step 2:===


CHF +10
H/O CVA +10
renal dz +10


   
   


3. PHYSICAL EXAM
Risk Factors
 
AMS +20
 
RR>30 +20
 
SBP<90 +20
 
T <35 >40 +15
 
P>125 ?


Points
Demographic Factors 
Age for men Age
Age for women Age -10
Nursing home resident +10
Coexisting Illnesses
Neoplastic disease (active) +30
Chronic liver disease +20
Heart Failure +10
Cerebrovascular disease +10
Chronic renal disease +10
Physical Exam
AMS +20
RR > 30/min +20
Sys BP < 90 +20
Temp <35 or >40 +15
Pulse > 125 +10
Lab and xray findings
Arterial pH < 7.35 +30
BUN > 30 +20
Na <130 +20
Glucose > 250 +10
Hematocrit <30% +10
PaO2 < 60 or SpO2 < 90% +10
Pleural effusion +10
   
   
4. LABORATORIES
pH<7.35 +30
BUN >30 +20
Na >130 +20
glu >250 +10
hct <30 +10
PaO2 <60 +10
pleural eff +10


   
   


==Classification==
Classification
 


Class Points Mortality
Class Points Mortality

Revision as of 23:42, 1 March 2011

Port Score

Step 1:

Step 2:

Risk Factors

Points Demographic Factors Age for men Age Age for women Age -10 Nursing home resident +10 Coexisting Illnesses Neoplastic disease (active) +30 Chronic liver disease +20 Heart Failure +10 Cerebrovascular disease +10 Chronic renal disease +10 Physical Exam AMS +20 RR > 30/min +20 Sys BP < 90 +20 Temp <35 or >40 +15 Pulse > 125 +10 Lab and xray findings Arterial pH < 7.35 +30 BUN > 30 +20 Na <130 +20 Glucose > 250 +10 Hematocrit <30% +10 PaO2 < 60 or SpO2 < 90% +10 Pleural effusion +10



Classification

Class Points Mortality I *** 0.1% II <71 0.6% III 71-90 2.8% IV 91-130 8.2% V >130 29.2%

      • Less than age 55 with no other points


See Also

Pulm: Pneumonia (Pathogens)

Pulm: Pneumonia (CAP)


Source

2/8/06 DONALDSON (from 'the board')