METHOD OF LETHAL OUTCOME FORECAST FROM COMMUNITY-ACQUIRED PNEUMONIA Russian patent published in 2009 - IPC A61B5/01 A61B5/113 A61B5/21 G01N33/48 

FIELD: medicine.

SUBSTANCE: invention relates medicine, namely to pulmonology, and can be used for forecast of lethal outcome at patients with community-acquired pneumonia of any severity degree. Physical and tool indicators are determined, and as these indicators use their absolute and (or) the sizes graduated in points and count prognostic indicator under the formula: , software - prognostic indicator, A - estimation on radiological data of bronchitis: no data - 0 points, is absent - 1 point, available without deformation of bronchial tree and roots - 3 points, available with presence of deformation of bronchial tree and roots - 5 points; B - estimation on radiological data of pneumosclerosis: no data - 0 points, is absent - 1 point, local - 3 points, massive or multifocal - 5 points; C - pleurofibrosis estimation on radiological data: no data - 0 points, is absent - 1 point, local - 3 points, massive or multifocal - 5 points; D - score, reflecting infiltration localisation in lungs on radiological data: S_1-2, S_4-6, on the right - 5 points, S_5-6, S_9-10 on the left - 4 points, S_1-3 on the left - 3 points, S_8-10 on the right - 2 points, Si at the left, S3 on the right - 1 point; E - maximum indicator of body temperature in absolute numbers; F - estimation in points of as much as possible reached number of respiratory movements in a minute: less than 20 - 1 point, 20-25 - 2 points, 26-30 - 3 points, 31-40 - 4 points, 41 and above - 5 points; G - size of systolic arterial pressure in absolute numbers registered at detection extramural pneumonia; H - maximum number (in %) band elements of the leukocytic blood count; I - the least indicator of absolute number of leucocytes if there is leukopenia, less than 4 thousand; J - an estimation in points of number of thrombocytes: 180-280 - 1 point, 281-400 - 2 points, 401-600 - 3 points, 601-800 - 4 points, >800 - 5 points; K - the least indicator of absolute number of thrombocytes if there is thrombopenia, less than 180 thousand; L - indicator of leukocytic index of intoxication in absolute numbers. At reception of prognostic indicator 1 and more the lethal outcome of disease affirms, and at less 1 possibility of treatment from community-acquired pneumonia affirms.

EFFECT: method leads to reception of unequivocal and definitely treated quantitative criterion of forecast of disease on the basis of small number of parameters, objectivates medical diagnostics of disease, raises reliability of the conclusion, and also gives chance its wide use by practical doctors in cases of application of computer technics and at pre-hospital stage of conducting patients.

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