🫁
CURB-65 Score - Pneumonia Severity
Assess severity of community-acquired pneumonia using the CURB-65 score to guide treatment decisions.
重要医学免责声明
本计算器是教育和临床决策支持工具。结果不能替代专业医学评估、实验室检查或临床判断。诊断、治疗和临床决策请务必咨询合格的医疗保健专业人员。计算基于经科学验证的公式，但可能不适用于所有患者。
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 ≥30 breaths/min
- B - Blood pressure: SBP <90 or DBP ≤60 mmHg
- 65 - Age ≥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.