Pulmonology Book

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SOAR Pneumonia Score

Aka: SOAR Pneumonia Score
  1. See Also
    1. CURB-65
    2. Community Acquired Pneumonia
  2. Indications
    1. Pneumonia in the Nursing Home Assessment for Disposition (Outpatient, Inpatient or ICU admission)
  3. Background
    1. Modified from CURB-65
      1. Removes confusion and BUN criteria from CURB-65 and adds PaO2 criteria
  4. Criteria: Assign one point for each of positive criteria
    1. Partial arterial oxygen pressure to FIO2 ratio (PaO2/FIO2 Ratio) <250
    2. Respiratory Rate 30 breaths/min or higher
    3. Systolic Blood Pressure <90 mmHg or Diastolic Blood Pressure <60 mmHg
    4. Age 65 years or older
  5. Interpretation
    1. Score 0-1: Outpatient management (30 day mortality <8%)
    2. Score 2 or more: Inpatient management (30 day mortality 33%)
  6. References
    1. El-Solh (2010) Chest 138(6): 1371-6 [PubMed]

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