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Pulmonary · ICU and Critical Care

PIRO Score for Community-Acquired Pneumonia calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

years

Allowed range: 18–120 years

Quick picks

Age over 70 years scores 1. Age 70 scores 0.

Result

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Clinical inputs

  • COPD or immunocompromise
  • Age (years)Accepted range: 18 to 120
  • Bacteremia
  • Multilobar opacities on the chest radiograph
  • Shock
  • Severe hypoxemia
  • Acute renal failure
  • Acute respiratory distress syndrome

Primary source

Rello J et al. PIRO score for community-acquired pneumonia: a new prediction rule for assessment of severity in intensive care unit patients with community-acquired pneumonia. Crit Care Med. DOI: 10.1097/CCM.0b013e318194b021. PMID: 19114916. One point for each present feature, within 24 hours of ICU admission: COPD or immunocompromise, age over 70 years, bacteremia, multilobar opacities, shock, severe hypoxemia, acute renal failure, and ARDS. The total is 0–8. Observed 28-day mortality strata are low at 0–2, mild at 3, high at 4, and very high at 5–8. (2009)

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