• a Faculty of Medicine, Shampelion Street, AlAzarita, Cardiology Department, Alexandria, Egypt
  • b Faculty of Medicine, Shampelion Street, AlAzarita, Critical Care Depart., Alexandria, Egypt

Egyptian Journal of Chest Diseases and TuberculosisJune 2016

Hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP) are important causes of morbidity and mortality despite improved antimicrobial therapy, supportive care, and prevention. General risk factors for developing HAP include age older than 70 years, serious comorbidities, malnutrition, impaired consciousness, prolonged hospitalization and COPD. The availability of valid criteria for defining severe pneumonia would provide a more reliable basis for improving patients risk assessment. The aim of this study was to assess the prognostic value of 7 different scores: Pneumonia Severity Index (PSI), CURB 65, Modified ATS rule, infectious Diseases Society of America/American Thoracic Society Consensus Guidelines (IDSA/ATS), SMART COP, Simplified SMART-COP (SMART CO) and SOAR) in assessing the severity of HAP and outcome of patients.