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Correspondence
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  1. James D Chalmers,
  2. Aran Singanayagam,
  3. Adam T Hill
  1. Department of Respiratory Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK
  1. Correspondence to Dr James D Chalmers, Royal Infirmary of Edinburgh, Department of Respiratory Medicine, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK; jamesdchalmers{at}googlemail.com

https://doi.org/10.1136/thx.2010.156554

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    We thank Dr Challen for her letter regarding our article1 2 in which she highlights the limitations of CURB65 and PSI for guiding ICU admission. This is an important point which a number of authors including ourselves have made previously.3 Our meta-analysis demonstrates that CURB65 and PSI predict 30-day mortality, the end-point for which these scores were originally derived. Unfortunately, 30-day mortality risk does not translate directly into management decisions and so it is important to establish whether severity scores can impact positively in clinical practice. This ‘impact analysis’ is a critical part of the …

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    Footnotes

    • Linked articles 154948.

    • Competing interests None.

    • Provenance and peer review Not commissioned; not externally peer reviewed.

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