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]
- https://www.healthcare.uiowa.edu/familymedicine/fpinfo/curb65.htm
- Wikipedia. CURB-65 [online]. Wikipedie, ©2013. Poslední revize 2013-03-01, [cit. 2013-04-17]. <https://en.wikipedia.org/w/index.php?title=CURB-65&oldid=541411701>.