Severe pneumonia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age = 18 years; 2) Meets the IDSA/ATS criteria for severe pneumonia (1 major criterion or = 3 minor criteria): Major criteria: 1) Requires mechanical ventilation; 2) Infectious shock requiring vasoactive agents. Minor criteria: 1) Respiratory rate = 30 breaths/min; 2) PaO2/FiO2 = 250 mmHg; 3) Multilobar pulmonary infiltrates; 4) Altered consciousness or disorientation; 5) Blood urea nitrogen = 20 mg/dL; 6) White blood cell count < 4 × 10^9/L; 7) Platelet count < 100 × 10^9//L; 8) Core body temperature < 36°C; 9) Hypotension requiring fluid resuscitation. 3) The medical record contains information from the four diagnostic methods (inspection, auscultation, inquiry and palpation) as well as indicators such as complete blood count, coagulation tests and arterial blood gas analysis; 4) Data regarding diagnosis and clinical turning points are complete.
Exclusion criteria
Exclusion criteria: 1) More than 30% of medical records are missing; 2) Atypical pneumonia caused by immunosuppression; 3) Patients receiving end-of-life care; 4) Cases deemed by the expert panel to be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Demographic and clinical characteristics (baseline information); | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood biochemical parameters;Clinical symptoms;Pulmonary imaging;Information on the Four Diagnostic Methods of Traditional Chinese Medicine; | — |
Countries
China
Contacts
Beijing Hospital of Traditional Chinese Medicine, Capital Medical University