CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.
Chest infections - adult - Management
Other factors that indicate admission
- The CRB-65 system should not be used to replace clinical judgement in deciding if a person should be admitted. Other factors should also be considered in making the decision. These include:
- The person's wishes.
- Their social support.
- Pre-existing conditions.
- Pregnancy.
- General frailty.
- Clinical features of underlying lung cancer include:
- Hemoptysis.
- Weight loss.
- Voice hoarseness.
- Finger clubbing.
- Cervical and/or supraclavicular lymphadenopathy.
- Features suggestive of metastasis.
- For further information on assessment and management of people with suspected lung cancer, see the CKS topic on Lung cancer - suspected.
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