社区获得性肺炎预后评价及其在儿童患者中的应用

Prognostic evaluation of community-acquired pneumonia and its application in children

肺炎严重程度的精准及时评估对于重症肺炎的诊断及治疗至关重要。一个理想的儿童社区获得性肺炎评分系统应该是早期、高效、精确和独立的,以用于预测社区获得性肺炎的病死率风险,并作为进入重症监护病房的重要参考指标。目前主要评分系统有肺炎严重程度指数及CURB-65等,但这两种常用的评分标准并未实际应用于儿童患者的严重程度评估,且具有一定的局限性。目前一项基于改进的成人肺炎PIRO量表的计分系统可能适用于儿童患者,可以辅助临床医生预测疾病的严重程度。该文旨在回顾目前评估社区获得性肺炎的严重程度、估计预后的评分工具,并重点介绍可能适用于儿童社区获得性肺炎的评分系统。

Accurate and timely assessment of pneumonia severity is critical to the diagnosis and treatment of severe pneumonia.An ideal community-acquired pneumonia(CAP)scoring system for children should be early,efficient,accurate and independent,which should be used to predict mortality risk for community acquired pneumonia(CAP)and served as an important reference for admission to intensive care units.Currently,the major scoring systems include pneumonia severity index(PSI)and CURB-65.However,both commonly used scoring criteria have not been applied to the assessment of severity in children because of limitations.A scoring system based on the modified adult pneumonia PIRO scale may be applicable to children,which can help clinicians predict the severity of disease.The purpose of this article is to review current scoring tools for assessing CAP severity and estimating prognosis,and to highlight scoring systems that may be applicable to CAP in children.