CURB-65: pneumonia score refresher

19 May

broken down for easy reference:

THE DECISION RULE:

1 point each:

  • Confusion
  • Uremia (BUN > 19 mg/dL)
  • Respiratory rate > 30
  • Blood pressure < 90 (systolic) or <=60 (diastolic)
  • 65 (age >= 65)

WHAT’S IT MEAN?

estimated 30-day mortality

  • 0 points: 0.6%
  • 1 point: 2.7%
  • 2 points: 6.8%
  • 3 points: 14%
  • 4-5 points: 27.8%

 

THEIR RECOMMENDATIONS:

  • 0-1 point – consider outpatient treatment
  • 2 points – consider inpatient tx, or outpatient tx + close follow-up
  • 3 points – inpatient tx, +/- ICU
  • 4-5 points – ICU

 

HOW USEFUL IS IT?

CURB-65 > 2:

  • sensitivity 0.62
  • specificity 0.79

 

References: review, MDCalc, utilitypicture

 

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One Response to “CURB-65: pneumonia score refresher”

  1. 台灣大樂透 September 20, 2014 at 20:14 #

    Marvelous article, thanks a lot !!

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