Pneumonia treatment

In CHEST a retrospective cohort study study published comparing patients with CAP admitted in ICU and admitted in medical ward.
Conclusions: ICU patients present with more severe disease and more comorbidities. ICU patients stay longer in the hospital and have a much higher mortality rate when compared to ward patients. Management strategies should be designed to improve clinical outcomes in ICU patients
Current guidelines for both CAP and healthcare associated pneumonia (HCAP) recognize the need for risk stratification.
There are lessons here. Read the guidelines carefully with particular attention to the risk categories. In every encounter with a pneumonia patient ask yourself what risk category or categories apply.