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Ventilator-Associated Pneumonia PIRO Score

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Management of Sepsis: The PIRO Approach

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Patients needing intensive care admission have associated acute and sometimes previous chronic illness. They are staged within the first 24 h based on scoring systems according to their mortality risk. For several years, these scoring systems have demonstrated its utility as prognostic tools. We use different versions of acute physiology and chronic health evaluation (APACHE) or simplified acute physiology score (SAPS). When a patient is affected by an in ICU event such as ventilator-associated pneumonia his or her predicted mortality risk might be affected. It is lacked a scoring system for stratify patients at the time of VAP diagnosis. Taking the scoring system for oncology, a group of intensive care experts designed a scoring system for patients with infection, the PIRO system. PIRO has four components: predisposition (P), infection insult (I), host response (R) and organ dysfunction (O). Mixing the idea and the necessity VAP PIRO score try to take place as prognostic tool to be applied at the time of VAP diagnosis.

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Authors and Affiliations

  1. Critical Care Department Joan XXIII University Hospital, University Rovira & Virgili Institut Pere Virgili CIBER Enfermedades Respiratorias, Carrer Doctor Mallafré Guasch, 4, Tarragona, 43007, Spain

    Emili Díaz MD, PhD & Thiago Lisboa

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  1. Emili Díaz MD, PhD
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  2. Thiago Lisboa
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  1. Intensive Care Unit, Joan XXIII University Hospital, Carrer Mallafré Guasch, 4, Tarragona, 43007, Spain

    Jordi Rello MD, PhD , Emili Díaz MD, PhD  & Alejandro Rodríguez MD, PhD ,  & 

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Díaz, E., Lisboa, T. (2009). Ventilator-Associated Pneumonia PIRO Score. In: Rello, J., Díaz, E., Rodríguez, A. (eds) Management of Sepsis: The PIRO Approach. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00479-7_4

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  • DOI: https://doi.org/10.1007/978-3-642-00479-7_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-00478-0

  • Online ISBN: 978-3-642-00479-7

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