Pneumocystis carinii Pneumonia Score of Nichols et al

respiratory rate

<= 16 per minute

0

17-22 per minute

2

23-28 per minute

4

29-39 per minute

6

>= 40 per minute

8

cough

none

0

mild; coughing less than 1 time in 15 minutes

1

moderate; coughing 1 time every 5-15 minutes; cough interferes with sleep

2

severe; constant; coughing 1 or more times every 5 minutes; interferes with both conversation and sleep

3

chest tightness

none

0

mild

1

moderate; present but does not interfere with daily activities

2

constant; noticeable with every breath; interferes with conversation

3

dyspnea

none

0

forced to slow walking pace

2

forced to interrupt walking

4

forced to stop every few minutes or after about 9 meters

6

breathlessness with dressing or undressing

8

breathlessness at rest

10

supplemental oxygen

none required for comfort

0

FIO2 22-30%

2

FIO2 31-40%

4

FIO2 41-50%

6

FIO2 > 50%

8

mechanical ventilation

8

fever

< 37.6 °C

0

37.6 to 38.5 °C

2

38.6 to 39.5 °C

4

> 39.5 °C

6

chest radiograph on entry

normal

0

abnormal

6

chest radiograph on follow-up

changes resolved

0

improvement since entry

3

worsening since entry

9

0

19.3 (SD 6.6)

24.6 (SD 5.6)

3

16.0 (SD 5.6)

23.4 (SD 8.4)

7

11.8 (SD 6.7)

18.0 (SD 6.5)

14

6.8 (SD 3.8)

20.5 (SD 4.4)