Article Text

Download PDFPDF
Letter
Authors' reply
  1. Wei Shen Lim,
  2. British Thoracic Society Community Acquired Pneumonia Guidelines Committee
  1. Correspondence to Wei Shen Lim, Respiratory Medicine, Nottingham University Hospitals, Hucknall Road, Nottingham NG5 1PB, England, UK; weishen.lim{at}nuh.nhs.uk

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

We thank Challen et al for their interest in the guidelines and for raising an important discussion point. In describing disease severity, mortality is the main outcome measure used in the majority of studies of community acquired pneumonia (CAP). The largest evidence base therefore relates to this very specific outcome. In contrast, criteria for admission to critical care units vary across units and from country to country and, in practice, only a proportion of patients with CAP are usually considered suitable for admission.

As Challen et al suggest, no prognostic model is perfect. The CURB65 score is comparable to more complicated models such as the Pneumonia Severity Index that takes into account 20 different variables. Studies of the CURB65 score …

View Full Text

Footnotes

  • Linked articles 132019.

  • Competing interests None.

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

Linked Articles