[Clinical evaluation of chinese guidelines for community-acquired pneumonia].
OBJECTIVE
To evaluate the criteria of severity assessment of the Chinese Community-Acquired Pneumonia (CAP) Guidelines, and provide the evidence for carrying out the Guidelines completely.


METHODS
The medical records of 473 patients with CAP in our hospital from July 1, 2002 to June 30, 2004 were prospectively collected and analyzed with SPSS 10.0. Chi-square test and multinomial logistic regression to analyze the influence of risk factors listed in the Guidelines on the outcome of the patients in this cohort.


RESULTS
(1) The mortality in severe pneumonia group was 28.9%; hospitalized group, in qualified, and 0% in disqualified hospitalized groups; (2) The frequencies of some factors were few in the study, such as previous splenectomy, presence of cavity, ect; (3)There were 13 factors found to be significantly different between survivors and nonsurvivors, such as age>65 yrs, diabetes mellitus, chronic renal failure, etc; of which 7 were independent risk factors associated with death (P<0.05).


CONCLUSIONS
(1) The severity assessment criteria of the Chinese CAP Guidelines can differentiate patients with different risks; (2) The Guidelines should be continuously and implemented under evidence based guidance updated.
Xue
Xiao-yan
XY
Department of Emergency, Peking University People's Hospital, Beijing 100044, China. xuexiaoyan0309@tom.com
Gao
Zhan-cheng
ZC
Zhu
Ji-hong
JH
Xu
Yu
Y
Li
Xin
X
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D002681:China; D015331:Cohort Studies; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D017410:Practice Guidelines as Topic / Q000592:standards*; D012307:Risk Factors; D015996:Survival Rate