Causes |
Pneumonia-related |
Fever (>37.5 °C) |
Blood pressure |
systolic<100 mmHg or diastolic<60 mmHg |
Hyponatraemia <130 mmol·L−1 |
Hypernatraemia>155 mol·L−1 |
Respiratory failure |
room air Pa,O2<60 mmHg |
Arterial blood saturation <90% |
Respiratory acidosis pH ≤7.30 |
Acute changes in mentation |
Metastatic infection |
Complications |
Respiratory |
Metapneumonic pleural effusion |
Empyema requiring thoracocentesis and/or drainage |
thromboembolism |
haemoptysis |
Cardiovascular |
Acute myocardial infarction |
worsening chronic or new congestive heart failure |
Hypertensive crisis |
Ventricular fibrillation or tachycardia |
New or unstable atrial flutter or fibrillation |
Supraventricular tachycardia |
Hepatic |
Gastrointestinal |
Bleeding |
Diarrhea |
Vomiting |
Others |
Unstable comorbid disease |
Nonclinical reasons |
‘Weekend effect’ |
Delay in radiographical results |
Delay in laboratory results |
Need for supportative care |
Others |
Pa,O2: arterial oxygen tension