TY - JOUR T1 -下呼吸道感染肺炎的预测因素:咳嗽3 c潜在并发症队列研究摩根富林明-欧洲呼吸杂志》乔和J - 10.1183/13993003.00434 -2017欧元六世- 50 - 5 SP - 1700434 AU -摩尔,迈克尔AU -斯图尔特,贝思盟,小保罗AU -史密斯,苏盟-汤普森,马修·J . AU -诺克斯,凯尔AU - van den Bruel,安妮盟——安宁的,马克盟——MantDavid Y1 - 2017/11/01 UR - //www.qdcxjkg.com/content/50/5/1700434.abstract N2 -目的是帮助在常规初级保健中表现出下呼吸道症状的患者诊断肺炎。2009 - 2013年，从5222个英国诊所中招募了28 883名成年下呼吸道感染导致的急性咳嗽患者。在患者出现时记录症状、体征和治疗情况，并通过复查图表随访30天。确定患者特征、表现症状和临床表现对诊断前7天内肺炎的预测价值。在28883名(2.5%)在指数会诊后一周内接受放射检查的人中，有720名(16.0%;28 883例中0.40%)确诊为明确的或可能的肺炎。经x线片证实的肺炎的显著独立预测因子是温度>37.8°C (RR 2.6;95% CI 1.5-4.8)，听诊裂纹(RR 1.8;1.1-3.0)，氧饱和度<95% (RR 1.7;100·min-1 (RR 1.9; 1.1–3.2). Most patients with pneumonia (99/115, 86.1%) exhibited at least one of these four clinical signs; the positive predictive value of having at least one of these signs was 20.2% (95% CI 17.3–23.1).In routine practice, radiograph-confirmed pneumonia as a short-term complication of LRTI is very uncommon (one in 270). Pulse oximetry may aid the diagnosis of pneumonia in this setting.Pulse oximetry probably has a role in the diagnosis of pneumonia in the community http://ow.ly/QpWc30fVM2j ER -