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Clinical Performance of Existing Diagnostic Criteria for Pneumonia in Older Emergency Patients: A Prospective Cohort Study

K. Hunold, Lorraine C. Mion, Tanya R Gure, Andrew L. Schwaderer, M. Exline, Courtney Hébert, Brent C Lampert, L. Southerland et al.

Journal of The American Geriatrics Society, 2024

2 citations

Abstract

Pneumonia accounts for over half a million older adult emergency department (ED) visits annually, but ED pneumonia diagnosis is inaccurate. Geriatric‐specific pneumonia diagnostic criteria exist for other settings; no prospective data exist to determine if application in the older adult ED population is feasible. The objective was to prospectively evaluate the utility of four current diagnostic criteria (Loeb; Modified McGeer; Infectious Disease Society of America/American Thoracic Society; American College of Emergency Physicians) in older adult ED patients.

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Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence.

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