Agreement and comparative accuracy of instability criteria at discharge for predicting adverse events in patients with community-acquired pneumonia.

ABSTRACT:

Objective

Five definitions of clinical instability have been published to assess the appropriateness and safety of discharging patients hospitalised for pneumonia. This study aimed to quantify the level of agreement between these definitions and estimate their discriminatory accuracy in predicting post-discharge adverse events.

Study design and setting

We conducted a retrospective cohort study involving 1038 adult patients discharged alive following hospitalisation for pneumonia.

Results

The prevalence of unstable criteria within 24 hours before discharge was 4.5% for temperature >37.8°C, 13.8% for heart rate >100/min, 1.0% for respiratory rate >24/min, 2.6% for systolic blood pressure <90 mm Hg, 3.3% for oxygen saturation <90%, 5.4% for inability to maintain oral int

SUBMITTER: Danjou A 

PROVIDER: S-EPMC11551989 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature