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	査読なし
表題	Revision of the severity rating and classification of hospital-acquired pneumonia in the Japanese Respiratory Society guidelines.
掲載誌名	正式名：Respirology (Carlton, Vic.)
巻・号・頁	13(6),880-5頁
著者・共著者	Masafumi Seki,Akira Watanabe,Keiichi Mikasa,Junichi Kadota,Shigeru Kohno
発行年月	2008/11
概要	BACKGROUND AND OBJECTIVE: Based on the results of a multicentre collaborative survey of hospital-acquired pneumonia (HAP) conducted in Japan, the severity rating and classification of pneumonia in the Japanese Respiratory Society guidelines for management of HAP were examined. METHODS: Parameters for the severity classification were selected from the factors associated with prognosis in the HAP survey and in other previous reports. Depending on the presence of the parameters listed below, patients with HAP were stratified into those with high, moderate or low-risk. The high-riskgroup was defined as patients with three or more of the following risk factors: 'malignant tumour or immunocompromised status', 'impaired consciousness', 'requiring fraction of inspired oxygen (FiO(2))>35% to maintain SaO(2)>90%', 'man aged 70 years or older, or woman aged 75 years or older' and 'oliguria or dehydration.' The moderate-risk group was defined as patients with any of the secondary risk factors as follows: 'CRP>or = 200 mg/L' and 'extent of infiltration on CXR covers at least 2/3 of one lung'. The low-risk group was defined as all other patients. RESULTS: Application of this classificatio
DOI	10.1111/j.1440-1843.2008.01348.x
PMID	18657061