II. Indications
- Community Acquired Pneumonia assessment of ICU bed status requirement
III. Criteria
- Major
- Invasive Mechanical Ventilation
- Septic Shock with Vasopressors required
- Minor
- Blood Urea Nitrogen (BUN) >20 mg/dl
- Confusion or Disorientation
- Hypotension requiring aggressive fluid Resuscitation
- Hypothermia with core Temperature <96.8 F
- Leukopenia with White Blood Cell Count <4000 per mm3
- Multilobar infiltrates
- PaO2 to FIO2 ratio <250 or need for Noninvasive Ventilation (NIPPV)
- Respiratory Rate >30 breaths/min or need for Noninvasive Ventilation (NIPPV)
- Thrombocytopenia with Platelet Count <100,000 per mm3
- Other Minor Criteria that may be considered
- Hypoglycemia in non-diabetic patients
- Acute Alcohol Withdrawal
- Hyponatremia
- Unexplained Metabolic Acidosis
- Elevated Lactic Acid
- Cirrhosis
- Asplenia
IV. Interpretation
- Overall Major and Minor Criteria
- ICU bed required if any major criteria is present
- Consider ICU bed if any minor criteria present
- Minor Criteria
- Minor score >3 is associated with a 44.1% chance of requiring an ICU admission
- Minor score 3 or higher is associated with 38.7% chance of needing Mechanical Ventilation or Vasopressors