CURB-65
From WikiLectures
CURB-65 is a score to assess the clinical severity of pneumonia . It is based on the original CURB score, newly supplemented by an age factor.
Meaning[edit | edit source]
- C onfusion (confusion) newly formed;
- U rea (blood level) above 7 mmol / l;
- R inspiratory frequency 30 / min or higher;
- B lood pressure (blood pressure) below 90 mmHg systolic or below 60 mmHg diastolic;
- 65 or older.
Each of the components is evaluated by one point, which are added up in the result. Therefore, the score can take values of 0-5 points.
Interpretation[edit | edit source]
The score indicates the risk of the patient's death within 30 days according to the number of points.
- 0 points - 0.7%
- 1 points - 3.2%
- 2 points - 3.0%
- 3 points - 17.0%
- 4 points - 41.5%
- 5 points - 57.0%
Recommended clinical approach based on the number of points[edit | edit source]
- 0−1 - outpatient treatment
- 2-3 - short hospitalization, or outpatient procedure with the possibility of frequent inspections
- 4−5 - therapy during hospitalization, possibly also in the intensive care unit
