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Mortality Prediction Tool for Patients with Community Acquired Pneumonia
Aka: Mortality Prediction Tool for Patients with Community Acquired Pneumonia, CURB-65
- See Also
- Community Acquired Pneumonia
- SOAR Pneumonia Score
- Indications
- Community Acquired Pneumonia Assessment for Disposition (Outpatient, Inpatient or ICU admission)
- Criteria: Assign one point for each of positive criteria
- Confusion
- Blood Urea Nitrogen (BUN) >20 mg/dl
- Respiratory Rate 30 breaths/min or higher
- Systolic Blood Pressure <90 mmHg or Diastolic Blood Pressure <60 mmHg
- Age 65 years or older
- Interpretation
- Score 0-1: Outpatient management (30 day mortality <2.1%)
- Score 2: Inpatient management (30 day mortality 9.2%)
- Score 3: Intensive Care management (30 day mortality 15-40%)
- Efficacy
- Poor Test Sensitivity (use other prediction tools for low scores)
- High Test Specificity (strongly consider ICU admission for higher scores)
- Disadvantages
- When used as a triage tool (for hospitalization), misses borderline cases (low Test Sensitivity)
- Does not include Hypoxia in its criteria
- Requires Blood Urea Nitrogen (remainder of criteria may be identified bedside)
- References
- Lim (2009) Thorax 64(suppl 3):1-55 [PubMed]