CURB-65 score for Pneumonia



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CURB-65/CRB-65 score [comment memo="CURB-65 and CRB-65 rules. Decision rules to help determine outpatient vs. inpatient treatment for pneumonia. (It really helps to get the BUN!)"]
Clinical Features:
[select name="confusion" value="absent=0|present=1"] <-- Confusion
[select name="BUN" value="less than/equal to 19 mg per dL (6.8 mmol per L)=0|greater 19 mg per dL (6.8 mmol per L)=1|not obtained=10"] <-- Blood Urea Nitrogen
[select name="respiration" value="less than 30 breaths per minute=0|greater than/equal to 30 breaths per minute=1"] <-- Respiratory rate
[select name="BP" value="systolic greater than/equal to 90 and diastolic greater than 60=0|systolic less than 90 or diastolic less than/equal to 60=1"] <-- Blood pressure
[select name="age" value="less than 65=0|greater than/equal to 65=1"] <-- Age
Result --> [calc value="score=(confusion)+(BUN)+(respiration)+(BP)+(age);score>13?'CRB-65 = 4: High risk of death; urgent hospitalization':score>12?'CRB-65 = 3: High risk of death; urgent hospitalization':score>11?'CRB-65 = 2: Increased risk of death; consider hospitalization':score>10?'CRB-65 = 1: Increased risk of death; consider hospitalization':score>9?'CRB-65 = 0: Very low risk of death; usually does not require hospitalization':score>4?'CURB-65 = 5: Severe pneumonia; hospitalize and consider admitting to intensive care':score>3?'CURB-65 = 4: Severe pneumonia; hospitalize and consider admitting to intensive care':score>2?'CURB-65 = 3: Severe pneumonia; hospitalize and consider admitting to intensive care':score>1?'CURB-65 = 2: Short inpatient hospitalization or closely-supervised outpatient treatment':score>0?'CURB-65 = 1: Low risk; consider home treatment':'CURB-65 = 0: Low risk; consider home treatment'" memo="score"]
[comment memo="Reference: "] [link memo="Am Fam Physician. 2006 Apr 15;73(8):1425-1428" url="http://www.aafp.org/afp/2006/0415/p1425.html"]
CURB-65/CRB-65 score CURB-65 and CRB-65 rules. Decision rules to help determine outpatient vs. inpatient treatment for pneumonia. (It really helps to get the BUN!)
Clinical Features:
<-- Confusion
<-- Blood Urea Nitrogen
<-- Respiratory rate
<-- Blood pressure
<-- Age
Result --> scorescore=(confusion)+(BUN)+(respiration)+(BP)+(age);score>13?'CRB-65 = 4: High risk of death; urgent hospitalization':score>12?'CRB-65 = 3: High risk of death; urgent hospitalization':score>11?'CRB-65 = 2: Increased risk of death; consider hospitalization':score>10?'CRB-65 = 1: Increased risk of death; consider hospitalization':score>9?'CRB-65 = 0: Very low risk of death; usually does not require hospitalization':score>4?'CURB-65 = 5: Severe pneumonia; hospitalize and consider admitting to intensive care':score>3?'CURB-65 = 4: Severe pneumonia; hospitalize and consider admitting to intensive care':score>2?'CURB-65 = 3: Severe pneumonia; hospitalize and consider admitting to intensive care':score>1?'CURB-65 = 2: Short inpatient hospitalization or closely-supervised outpatient treatment':score>0?'CURB-65 = 1: Low risk; consider home treatment':'CURB-65 = 0: Low risk; consider home treatment'
Reference: Am Fam Physician. 2006 Apr 15;73(8):1425-1428
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