Hospitalization for community-acquired febrile urinary tract infection: validation and impact assessment of a clinical prediction rule

Table 1 Prediction Rule for Admission policy in Complicated urinary Tract InfeCtion LEiden (PRACTICE)

Characteristic		Allocated points^a
Demographic
	Age (men)	Age (years)
	Age (women)	Age (years) - 10
Nursing home resident		+10
Comorbidity^b
	Malignancy	+30
	Congestive heart failure	+10
	Cerebrovascular disease	+10
	Liver cirrhosis	+20
	Renal disease	+10
Signs & Symptoms
	Altered mental status	+20
	Respiratory rate ≥ 30/min	+20
	Systolic blood pressure < 90 mmHg	+20
	Pulse ≥125/min	+10
	Temperature ≥ 40 °C	+15

^aA total score individual patient score is obtained by summing the points for each characteristic
^bMalignancy is defined as any cancer except basal- or squamous-cell cancer of the skin that was active within the previous year of presentation. Congestive heart failure is defined as ventricular dysfunction for which the patient is prescribed medication and/or consults a hospital-based medical specialist. Cerebrovascular disease is defined as a history of stroke or transient ischemic attack. Liver disease is defined as a clinical diagnosis of cirrhosis. Renal disease is defined as a history of chronic renal disease
According to risk class the following recommendations will apply:
< 75 points strong recommendation towards home-based management
75–100 points consider home-based management
>100 points strong recommendation towards hospital admission

ISSN: 1471-2334