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- W2477276585 abstract "Background:The Republic of Ireland has the highest mortality rate from respiratory diseases in Western Europe. In 2004, respiratory diseases caused over 6000 deaths in Ireland, and community acquired pneumonia accounted for 33% of deaths. Current community acquired pneumonia (CAP) guidelines recommend the use of the British Thoracic Society’s (BTS) CURB-65 Pneumonia Guideline or the Pneumonia Severity Index (PSI) to assess the severity and mortality risks in patients with CAP.Objectives: Our aim was to assess the knowledge and compliance with the BTS-CURB 65 guideline rule among physicians in our districthospital and to identify other CAP prognostic methods or criteria used in assessing mortality risks and deciding sites of care for CAP patients.Methods: A prospective questionnaire study of 25 physicians (middle and lower grades) from the emergency and general medicine departments was undertaken.Results: 88% (22) physicians usedclinical features and or other factors in deciding sites of care. Among those criteria, social factors, co-morbidities and pre-existing respiratory diseases, were considered for admission by 56% (14), 20% ( 5), and 20% ( 5) physicians respectively, while respiratory distress, hypoxia, sepsis, respiratory failure, hypotension and confusion were considered for admission by 12% ( 3), 12% ( 3 ), 12% ( 3 ), 8% ( 2 ), 4% ( 1 ) and 0% ( 0 ) physicians respectively. 32% (8) physicians correctly identified all parameters included in the BTS CURB-65 CAP guideline, while 28% (7) used it as a decision tool. Only 1 (4%) physician used the PSI as CAP decision tool.Conclusions:Our study confirms that, when our physicians’ used clinical features and other factorsfor sites of care decisions, without utilising any CAP guidelines’ prognostic tools, there was poor co-relation between their mortality risk assessments and decisions on sites of care. We also identified deficiencies in our physicians’ knowledge of BTS CURB-65 rule and its prognostic predictive value of mortality risk. Above findings, contribute to the suboptimal management, as the patients’ with increased and high mortality risks, may be inappropriately discharged. Hence, suggestions to use BTS CURB-65 rule effectively, in emergency departments were recommended." @default.
- W2477276585 created "2016-08-23" @default.
- W2477276585 date "2009-01-01" @default.
- W2477276585 modified "2023-09-26" @default.
- W2477276585 title "Is patients’ care compromised, when mortality risks and sites of care in Community Acquired Pneumonia (CAP) management are decided, utilising just the clinical features and or other factors instead of recommended prognostic tools? - A questionnaire study from a district hospital in Ireland." @default.
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- W2477276585 doi "https://doi.org/10.5580/1745" @default.
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