ArticlePloS one2019
Pneumonia severity index in viral community acquired pneumonia in adults.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 45 citations in OpenAlex.
- The Interplay Between Obstructive Sleep Apnea and Respiratory Infections: A Review Article.Thoracic research and practice · 2026Article
- Seasonal Distribution of Viral Pneumonia After COVID-19 and the Role of Hematological Markers in Assessing Pneumonia Severity: A Case-Control Study.Tropical medicine and infectious disease · 2025Article
- Obstructive Sleep Apnea and Acute Lower Respiratory Tract Infections: A Narrative Literature Review.Antibiotics (Basel, Switzerland) · 2024Review
- The relationship between lactate dehydrogenase and Apolipoprotein A1 levels in patients with severe pneumonia.Journal of medical biochemistry · 2024Article
- A simplified pneumonia severity index (PSI) for clinical outcome prediction in COVID-19.PloS one · 2024Article
- Comparative analysis of prognostic scoring systems in predicting severity and outcomes of Omicron variant COVID-19 pneumonia.Frontiers in medicine · 2024Article
- Establishment and Validation of the Risk Nomogram of Poor Prognosis in Patients with Severe Pulmonary Infection Complicated with Respiratory Failure.International journal of general medicine · 2023Article
- Comparison of Pneumonia Severity Indices, qCSI, 4C-Mortality Score and qSOFA in Predicting Mortality in Hospitalized Patients with COVID-19 Pneumonia.Journal of personalized medicine · 2022Article
- [Clinical characteristics of influenza pneumonia in the elderly and relationship between D-dimer and disease severity].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2022Article
- Characteristics, Management, and Outcomes of Community-Acquired Pneumonia Due to Human Rhinovirus-A Retrospective Study.Canadian respiratory journal · 2022Article
- Sodium alterations impair the prognosis of hospitalized patients with COVID-19 pneumonia.Endocrine connections · 2021Article
- Application of validated severity scores for pneumonia caused by SARS-CoV-2.Medicina clinica (English ed.) · 2021Article
- [Application of validated severity scores for pneumonia caused by SARS-CoV-2].Medicina clinica · 2021Observational
- Comparison of the clinical characteristics and mortality of adults infected with human coronaviruses 229E and OC43.Scientific reports · 2021Article
- Prognostic Value of Immune-Inflammatory Index in PSI IV-V Patients with COVID-19.BioMed research international · 2021Observational
- Serum Hydrogen Sulfide and Outcome Association in Pneumonia by the SARS-CoV-2 Coronavirus.Shock (Augusta, Ga.) · 2020Article
- Quantitative computed tomography of the coronavirus disease 2019 (COVID-19) pneumonia.Radiology of infectious diseases (Beijing, China) · 2020Article
- Clinical manifestations and outcomes of respiratory syncytial virus infection in adult hospitalized patients.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2019Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pneumonia severity index (PSI) is an important scoring system that can assess the severity of community acquired pneumonia and determine admission status. However, there is a lack of research on whether this scoring system can be applied to viral community acquired pneumonia. The purpose of this study was to evaluate the usefulness of PSI in viral community acquired pneumonia. This retrospective cohort study included 1,434 adult patients (aged ≥18 years) who were admitted to the emergency department of a university hospital during 2013-2015 because of community-acquired pneumonia. Viral infections were diagnosed by multiplex PCR. Patients diagnosed with non-viral community-acquired pneumonia were included in the control group (N = 1,173). The main outcome was 30-day all-cause mortality. multivariate Cox regression analyses were performed to calculate the risk of death. Respiratory viruses were detected in 261 (18.2%) patients with community-acquired pneumonia. Two types of respiratory viruses were detected in 7 cases. Of the 254 cases detected with only one virus, 62 were influenza A, 18 were influenza B, 65 were rhinovirus, 35 were respiratory syncytial virus, 25 were metapneumovirus, 20 were parainfluenza, 17 were coronavirus, 7 were bocavirus, and 5 were adenovirus. Mortality was not significantly different between patients with respiratory virus and those without respiratory virus; the 30-day all-cause mortality rates were 20.3% and 22.4%, respectively (P = 0.45). Mortality rate increased with an increasing PSI score with or without respiratory viral infection. Pulmonary severity index was significantly associated with mortality adjusted for respiratory virus detection (hazard ratio = 1.024, 95% confidence interval = 1.020-1.028). Pneumonia severity index score is an important factor for assessing the prognosis of patients with community-acquired pneumonia, regardless of respiratory virus detection.
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