CURB-65 Score

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]

  • Confusion newly formed;
  • Urea (blood level) above 7 mmol/l;
  • Respiratory frequency 30/min or higher;
  • 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 ​​from 0 to 5 points.

Interpreation[edit | edit source]

The score indicates the risk of the patient dying 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

Links[edit | edit source]

Sources[edit | edit source]