Publications by authors named "Shin Y Man"

Article Synopsis
  • The study aimed to compare a modified version of the Pneumonia Severity Index (PSI-HR) which identifies high-risk pneumonia patients, against the CURB-65 prediction rule, traditionally used for assessing pneumonia severity and mortality risk.
  • The research analyzed data from 6 pneumonia patient groups and found that PSI-HR successfully identified low-risk patients with a lower mortality rate (1.6%) compared to CURB-65 (2.2%), while high-risk patients showed a higher mortality rate with PSI-HR (36.5%) versus CURB-65 (32.2%).
  • PSI-HR demonstrated better overall accuracy (AUROC of 0.82) in predicting short-term mortality than CURB-65 (AUROC
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Objective: To improve the understanding of the determinants of prognosis and accurate risk stratification in community-acquired pneumonia (CAP).

Design: Multicentre collaboration of prospective cohorts.

Setting: 6 cohorts from the USA, Canada, Hong Kong and Spain.

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Background And Objective: Agents such as Mycoplasma pneumoniae, Chlamydophila pneumoniae and Legionella pneumophila are recognized as important causes of community-acquired pneumonia (CAP) worldwide. This study examined the role of these 'atypical pathogens' (AP) among adult hospitalized patients with CAP.

Methods: A prospective, observational study of consecutive adult CAP (clinico-radiological diagnosis) patients hospitalized during 2004-2005 was conducted.

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Introduction: Numerous prognostic predictive models have been developed for critically ill patients, many of which are primarily designed for use in intensive care units. The objective of this study was to evaluate the accuracy of a modified Acute Physiology and Chronic Health Evaluation (APACHE II) scoring system in predicting the mortality for critically ill patients managed in emergency department (ED) resuscitation rooms in Hong Kong.

Method: A multi-centre, prospective study was conducted for patients managed in the resuscitation rooms of the EDs of four major hospitals, including one university teaching hospital.

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Background: Community-acquired pneumonia (CAP) is a leading infectious cause of death throughout the world, including Hong Kong.

Aim: To compare the ability of three validated prediction rules for CAP to predict mortality in Hong Kong: the 20 variable Pneumonia Severity Index (PSI), the 6-point CURB65 scale adopted by the British Thoracic Society and the simpler CRB65.

Methods: A prospective observational study of 1016 consecutive inpatients with CAP (583 men, mean (SD) age 72 (17) years) was performed in a university hospital in the New Territories of Hong Kong in 2004.

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