セキ　マサフミ   SEK Masafumi   関　雅文    所属   埼玉医科大学  医学部 国際医療センター　感染症科・感染制御科    職種   教授
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読あり
表題	Evaluation of an assessment system for the JRS 2005: A-DROP for the management of CAP in adults.
掲載誌名	正式名：Internal medicine (Tokyo, Japan) ISSNコード：09182918
巻・号・頁	50(11),1183-91頁
著者・共著者	Shigeru Kohno,Masafumi Seki,Akira Watanabe
発行年月	2011
概要	OBJECTIVE: The Japanese Respiratory Society (JRS) last revised the guidelines for community-acquired pneumonia (CAP) in adults in 2005. These guidelines proposed new criteria (A-DROP) to assess the severity of pneumonia and to differentiate between typical bacterial pneumonia and atypical pneumonia. The goal of the present study was to evaluate the utility of the A-DROP criteria for these described purposes. METHODS: An observational survey was conducted between July 2006 and March 2007, and patients with CAP were prospectively surveyed using consecutive enrollment methods. PATIENTS: In total, 1,875 patients from 200 medical facilities throughout Japan were analyzed. RESULTS: The JRS 2005 A-DROP system was a good indicator of mortality in the patient population, and these results were significantly correlated with the Pneumonia Severity Index (PSI) of the Infectious Disease Society of America (IDSA). Among the various factors characterized, 'SpO(2) of 90% or less (PaO(2) of 60 Torr or less)' was the strongest predictor of mortality. In terms of the differential diagnosis between typical bacterial and atypical pneumonia, five of six JRS 2005 items were strongly and significantly cor
DOI	10.2169/internalmedicine.50.4651
PMID	21628933