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Correspondence
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Volume 336:1913-1915 June 26, 1997 Number 26
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A Prediction Rule for Community-Acquired Pneumonia

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 by Fine, M. J.
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To the Editor: Fine and colleagues (Jan. 23 issue)1 present a detailed analysis of community-acquired pneumonia. An important complicating factor not specifically addressed in their prediction rule is pregnancy. Pneumonia is one of the most common and serious nonobstetrical infections during pregnancy. Before 1940, maternal mortality from pneumonia was as high as 30 percent. Substantial maternal and perinatal morbidity and mortality still result from antepartum pneumonia (Table 1).2,3,4,5,6

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Table 1. Maternal and Perinatal Outcomes in Pregnancies Complicated by Pneumonia.

 
The risk-scoring system derived by Fine and colleagues favors outpatient therapy for young, otherwise healthy women. In the two maternal–fetal deaths . . . [Full Text of this Article]

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