Validity of British Thoracic Society guidance (the CRB-65 rule) for predicting the severity of pneumonia in general practice: systematic review and meta-analysis.

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Presentation transcript:

Validity of British Thoracic Society guidance (the CRB-65 rule) for predicting the severity of pneumonia in general practice: systematic review and meta-analysis by Maggie McNally, James Curtain, Kirsty K O'Brien, Borislav D Dimitrov, and Tom Fahey BJGP Volume 60(579):e423-e433 October 1, 2010 ©2010 by British Journal of General Practice

Severity assessment by the CRB-65 in terms of risk strata and subsequent management strategy for patients with suspected community-acquired pneumonia.3,4. Severity assessment by the CRB-65 in terms of risk strata and subsequent management strategy for patients with suspected community-acquired pneumonia.3,4 Maggie McNally et al. Br J Gen Pract 2010;60:e423-e433 ©2010 by British Journal of General Practice

Selection of studies for inclusion in the meta-analysis. Maggie McNally et al. Br J Gen Pract 2010;60:e423-e433 ©2010 by British Journal of General Practice

Summary diagram of the quality assessment of the included studies. Maggie McNally et al. Br J Gen Pract 2010;60:e423-e433 ©2010 by British Journal of General Practice

Low-risk group (score = 0) predicted and observed deaths in community and hospital settings. Maggie McNally et al. Br J Gen Pract 2010;60:e423-e433 ©2010 by British Journal of General Practice

Intermediate-risk group (score = 1 or 2) predicted and observed deaths in community and hospital settings. Intermediate-risk group (score = 1 or 2) predicted and observed deaths in community and hospital settings. Maggie McNally et al. Br J Gen Pract 2010;60:e423-e433 ©2010 by British Journal of General Practice

High-risk group (score = 3 or 4) predicted and observed deaths in community and hospital settings. Maggie McNally et al. Br J Gen Pract 2010;60:e423-e433 ©2010 by British Journal of General Practice

Funnel plot with 95% confidence limits for existence of publication bias in the meta-analysis. Maggie McNally et al. Br J Gen Pract 2010;60:e423-e433 ©2010 by British Journal of General Practice