Interactive PSI/PORT Score calculator for pneumonia severity. Requires the calculator gadget.
Usage: {{PSI PORT Calculator}}
PSI/PORT Score
PSI/PORT Score for Community-Acquired Pneumonia
| Demographics |
Value
|
| Age (years)
|
|
| Female sex (−10 points)
|
1 No Yes
|
| Comorbidities |
Points
|
| Nursing home resident (+10)
|
1 No Yes
|
| Neoplastic disease (+30)
|
1 No Yes
|
| Liver disease (+20)
|
1 No Yes
|
| CHF (+10)
|
1 No Yes
|
| Cerebrovascular disease (+10)
|
1 No Yes
|
| Renal disease (+10)
|
1 No Yes
|
| Physical Exam |
Points
|
| Altered mental status (+20)
|
1 No Yes
|
| Respiratory rate ≥30 (+20)
|
1 No Yes
|
| Systolic BP <90 (+20)
|
1 No Yes
|
| Temperature <35 or ≥40°C (+15)
|
1 No Yes
|
| Pulse ≥125 (+10)
|
1 No Yes
|
| Labs/Imaging |
Points
|
| pH <7.35 (+30)
|
1 No Yes
|
| BUN ≥30 (+20)
|
1 No Yes
|
| Sodium <130 (+20)
|
1 No Yes
|
| Glucose ≥250 (+10)
|
1 No Yes
|
| Hematocrit <30% (+10)
|
1 No Yes
|
| PaO₂ <60 (+10)
|
1 No Yes
|
| Pleural effusion (+10)
|
1 No Yes
|
| PSI Score
|
|
Interpretation — Risk Class & 30-day Mortality
| ≤50 (Class I)
|
0.1% mortality — Outpatient treatment.
|
| 51–70 (Class II)
|
0.6% mortality — Outpatient treatment.
|
| 71–90 (Class III)
|
2.8% mortality — Brief inpatient observation.
|
| 91–130 (Class IV)
|
8.2% mortality — Inpatient treatment.
|
| >130 (Class V)
|
29.2% mortality — Inpatient/ICU.
|
References
- Fine MJ, et al. A prediction rule to identify low-risk patients with community-acquired pneumonia. N Engl J Med. 1997;336(4):243-250. PMID 8995086.
|
