CURB-65 Score - Pneumonia Severity
Assess severity of community-acquired pneumonia using the CURB-65 score to guide treatment decisions.
Avertissement MĂ©dical Important
Cette calculatrice est un outil Ă©ducatif et d'aide Ă la dĂ©cision clinique. Les rĂ©sultats NE remplacent PAS l'Ă©valuation mĂ©dicale professionnelle, les examens de laboratoire ou le jugement clinique. Consultez toujours un professionnel de santĂ© qualifiĂ© pour le diagnostic, le traitement et les dĂ©cisions cliniques. Les calculs sont basĂ©s sur des formules scientifiquement validĂ©es mais peuvent ne pas ĂȘtre applicables Ă tous les patients.
About CURB-65 Score
The CURB-65 score is a clinical prediction rule used to assess the severity of community-acquired pneumonia (CAP) and guide treatment decisions regarding hospitalization. Developed by the British Thoracic Society in 2003, it evaluates 5 prognostic factors.
CURB-65 Criteria (1 point each)
- C - Confusion (new onset)
- U - Urea >7 mmol/L (BUN >19 mg/dL)
- R - Respiratory rate â„30 breaths/min
- B - Blood pressure: SBP <90 or DBP â€60 mmHg
- 65 - Age â„65 years
Score Interpretation & Treatment
- 0-1 points: Low risk (<3% mortality) - Consider outpatient treatment
- 2 points: Moderate risk (9% mortality) - Consider short hospital stay or close outpatient monitoring
- 3-5 points: High risk (15-40% mortality) - Hospital admission required; consider ICU for scores 4-5
Note: CURB-65 is a clinical tool to aid decision-making and should be used alongside clinical judgment. Patients with comorbidities, hypoxemia, or other concerning features may require hospitalization regardless of score.