Prospective evaluation of the treatment and outcome of community-acquired pneumonia according to the Pneumonia Severity Index in VHA hospitals

  • Davydov L
  • Ebert S
  • Restino M
 et al. 
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The objective of the study were to determine if nationally recognized community-acquired pneumonia (CAP) guidelines (specific to antibiotic therapy) were being followed and to identify outcomes of treatment in hospitals that are VHA members. This was a prospective study using a medication use evaluation in an inpatient setting conducted in 46 institutions in the United States during the 1998-1999 CAP season. The subjects were 875 adult patients (≥18 years of age) admitted from the emergency department or ambulatory care setting with a chest X-ray-confirmed diagnosis of CAP. Treatment pathways were in place in 58.7% (27/46) of institutions, with 18.3% of patients treated according to pathways. Twenty-seven percent of patients were PSI class I or II. A pathogen (blood or sputum) was identified in

Author-supplied keywords

  • Community-acquired pneumonia (CAP)
  • Length of stay (LOS)
  • Mortality
  • Pneumonia severity index (PSI)

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  • Liya Davydov

  • Steven C. Ebert

  • Maryann Restino

  • Melinda Gardner

  • Greg Bedenkop

  • Kathryn M. Uchida

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