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Table 1 Common characteristics for diagnosing (nursing home-acquired) pneumonia, yielded by the literature review of Phase 1, and frequency of importance scores (1 = hardly important; 10 = most important), numbers of scores on the common characteristics, 50 % indications and frequency indications, all resulting from Phase 2

From: Defining characteristics and risk indicators for diagnosing nursing home-acquired pneumonia and aspiration pneumonia in nursing home residents, using the electronically-modified Delphi Method

Characteristic

Frequency of importance score

Number of scores

50 % Indication as well as frequency indication

 

1

2

3

4

5

6

7

8

9

10

  

Tachypnea

1

4

2

5

7

10b

4

11b

6

15b

65a

c

Dyspnea

5

1

5

1

5

5

6b

9b

15b

13b

65a

c

Crepitation with auscultation

2

3

5

3

3

10b

8b

12b

2

7b

55a

c

Fever (temperature > 38 °C)

5

3

2

3

10

7

14b

9b

10b

6

69a

c

Coughing

2

6

2

6

7

7b

11b

8b

9b

6

64a

c

Deterioration of general functioning

7

2

6

7

9

3

5

9b

5

5

58a

c

Leucocystosis

3

3

7

8

5

4

6b

4

6b

0

46a

c

(Central) cyanosis

6

6

6

8

3

2

1

0

1

1

34

 

Hypoxia

2

3

8

7

6

6b

5

6b

6b

4

53a

c

Pain of breathing and coughing

3

6

8

3

6

4b

2

1

1

2

36a

 

Shivers

3

10

3

3

4

4

1

1

1

0

30

 

Decreased consciousness

10

5

3

8

3

3

2

4

1

1

40a

 

Purulent sputum

2

7

7

6

5

7b

6

5

3

3

51a

 

Tachycardia

2

2

3

3

6

6

4

3

2

0

31

 

Pleura rub

2

5

0

2

2

0

2

3

2

1

19

 

Transpiration

3

4

5

3

3

0

0

0

0

0

18

 
  1. a Selected by more than 50 % of the participants (50 % indication)
  2. b Included in the 4 highest frequency of importance scores, as far as present in the 5 highest importance scores (frequency indication)
  3. c Sorted out for Phase 3 because of the combination of 50 % indication and frequency indication