In this large retrospective cohort of patients admitted to the hospital with CAP, researchers evaluated the IDSA/ATS 2007 guideline prediction of “severe CAP” and need for ICU admission, compared to other prediction models (SMART-COP, CURXO-80, CURB-65). The 2007 guidelines had the best predictive ability of need for ICU care. Using 4 of the 9 minor criteria (as opposed to 3 as recommended by the guideline) increased the PPV from 54% to 81%, without much change to the NPV (94% to 92%). The IDSA/ATS 2007 guideline definition of severe CAP accurately predicts a patients need for ICU care, better than other existing risk scores (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.