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Patients with community acquired pneumonia discharged from the emergency department according to a clinical practice guideline.
Emerg Med J. 2004 Nov; 21(6):667-9.EM

Abstract

OBJECTIVES

To assess the safety of discharging patients with community acquired pneumonia (CAP) according to a clinical practice guideline.

METHODS

A systematic retrospective review of medical records of 867 adult patients discharged from an emergency department (ED) with CAP between 3 January 1999 and 3 January 2001. Readmission or death rates within 30 days of discharge were evaluated, using data from all local hospitals and from the provincial coroner.

RESULTS

Of 685 patients with pneumonia severity index (PSI) scores of <91, 13 (1.9%) were readmitted and five (0.76%) died within 30 days of the ED visit. Thirty day readmission and death rates for patients with PSI >90 were 7.14% (13 of 182) and 9.34% (17 of 182), respectively.

CONCLUSION

Adult patients with CAP discharged from the ED according to the recommendations of a clinical practice guideline based on the PSI have low readmission and death rates, and are generally safely managed as outpatients.

Authors+Show Affiliations

Department of Emergency Medicine, Dalhousie University, Halifax, Nova Scotia, Canada. samuel.campbell@cdha.nshealth.ca <samuel.campbell@cdha.nshealth.ca>No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15496690

Citation

Campbell, S G., et al. "Patients With Community Acquired Pneumonia Discharged From the Emergency Department According to a Clinical Practice Guideline." Emergency Medicine Journal : EMJ, vol. 21, no. 6, 2004, pp. 667-9.
Campbell SG, Patrick W, Urquhart DG, et al. Patients with community acquired pneumonia discharged from the emergency department according to a clinical practice guideline. Emerg Med J. 2004;21(6):667-9.
Campbell, S. G., Patrick, W., Urquhart, D. G., Maxwell, D. M., Ackroyd-Stolarz, S. A., Murray, D. D., & Hawass, A. (2004). Patients with community acquired pneumonia discharged from the emergency department according to a clinical practice guideline. Emergency Medicine Journal : EMJ, 21(6), 667-9.
Campbell SG, et al. Patients With Community Acquired Pneumonia Discharged From the Emergency Department According to a Clinical Practice Guideline. Emerg Med J. 2004;21(6):667-9. PubMed PMID: 15496690.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patients with community acquired pneumonia discharged from the emergency department according to a clinical practice guideline. AU - Campbell,S G, AU - Patrick,W, AU - Urquhart,D G, AU - Maxwell,D M, AU - Ackroyd-Stolarz,S A, AU - Murray,D D, AU - Hawass,A, PY - 2004/10/22/pubmed PY - 2005/3/1/medline PY - 2004/10/22/entrez SP - 667 EP - 9 JF - Emergency medicine journal : EMJ JO - Emerg Med J VL - 21 IS - 6 N2 - OBJECTIVES: To assess the safety of discharging patients with community acquired pneumonia (CAP) according to a clinical practice guideline. METHODS: A systematic retrospective review of medical records of 867 adult patients discharged from an emergency department (ED) with CAP between 3 January 1999 and 3 January 2001. Readmission or death rates within 30 days of discharge were evaluated, using data from all local hospitals and from the provincial coroner. RESULTS: Of 685 patients with pneumonia severity index (PSI) scores of <91, 13 (1.9%) were readmitted and five (0.76%) died within 30 days of the ED visit. Thirty day readmission and death rates for patients with PSI >90 were 7.14% (13 of 182) and 9.34% (17 of 182), respectively. CONCLUSION: Adult patients with CAP discharged from the ED according to the recommendations of a clinical practice guideline based on the PSI have low readmission and death rates, and are generally safely managed as outpatients. SN - 1472-0213 UR - https://www.unboundmedicine.com/medline/citation/15496690/Patients_with_community_acquired_pneumonia_discharged_from_the_emergency_department_according_to_a_clinical_practice_guideline_ L2 - https://emj.bmj.com/lookup/pmidlookup?view=long&amp;pmid=15496690 DB - PRIME DP - Unbound Medicine ER -