II. Indications

  1. Community Acquired Pneumonia assessment of ICU bed status requirement

III. Criteria

  1. Major
    1. Invasive Mechanical Ventilation
    2. Septic Shock with Vasopressors required
  2. Minor
    1. BUN >20 mg/dl
    2. Confusion or Disorientation
    3. Hypotension requiring aggressive fluid Resuscitation
    4. Hypothermia with core Temperature <96.8 F
    5. Leukopenia with White Blood Cell Count <4000 per mm3
    6. Multilobar infiltrates
    7. PaO2 to FIO2 ratio <250
    8. Respiratory Rate >30 breaths/min
    9. Thrombocytopenia with Platelet Count <100,000 per mm3

IV. Interpretation

  1. Overall Major and Minor Criteria
    1. ICU bed required if any major criteria is present
    2. Consider ICU bed if any minor criteria present
  2. Minor Criteria
    1. Minor score >3 is associated with a 44.1% chance of requiring an ICU admission
    2. Minor score 3 or higher is associated with 38.7% chance of needing Mechanical Ventilation or Vasopressors

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