CURB-65

CURB-65

CURB-65 is a clinical prediction rule that has been validated for predicting mortality in community-acquired pneumoniacite journal |author=Lim WS, van der Eerden MM, Laing R, "et al" |title=Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study |journal=Thorax |volume=58 |issue=5 |pages=377–82 |year=2003 |pmid=12728155 |doi=] and infection of any sitecite journal |author=Howell MD, Donnino MW, Talmor D, Clardy P, Ngo L, Shapiro NI |title=Performance of severity of illness scoring systems in emergency department patients with infection |journal=Academic emergency medicine : official journal of the Society for Academic Emergency Medicine |volume=14 |issue=8 |pages=709–14 |year=2007 |pmid=17576773 |doi=10.1197/j.aem.2007.02.036] . The CURB-65 is based on the earlier CURB scorecite journal |author=Lim WS, Macfarlane JT, Boswell TC, "et al" |title=Study of community acquired pneumonia aetiology (SCAPA) in adults admitted to hospital: implications for management guidelines |journal=Thorax |volume=56 |issue=4 |pages=296–301 |year=2001 |pmid=11254821 |doi=] and is recommended by the British Thoracic Society for the assessment of severity of pneumonia.cite journal |author= |title=BTS Guidelines for the Management of Community Acquired Pneumonia in Adults |journal=Thorax |volume=56 Suppl 4 |issue= |pages=IV1–64 |year=2001 |pmid=11713364 |doi=]

The score is an for each of the risk factors measured. Each risk factor scores one point, for a maximum score of 5:
* confusion (defined as an AMT of 8 or less)
* urea greater than 7 mmol/l (Blood Urea Nitrogen > 19)
* respiratory rate of 30 breaths per minute or greater
* blood pressure less than 90 systolic or diastolic blood pressure 60 or less
* age 65 or older

Predicting death from pneumonia

The risk of death increases as the score increases:
* 0—0.7%
* 1—3.2%
* 2—13.0%
* 3—17.0%
* 4—41.5%
* 5—57.0%

The CURB-65 has been compared to the pneumonia severity index in predicting mortality from pneumonia.cite journal |author=Aujesky D, Auble TE, Yealy DM, "et al" |title=Prospective comparison of three validated prediction rules for prognosis in community-acquired pneumonia |journal=Am. J. Med. |volume=118 |issue=4 |pages=384–92 |year=2005 |pmid=15808136 |doi=10.1016/j.amjmed.2005.01.006]

Predicting death from any infection

A cohort study of patients with any type of infection (half of the patients had pneumonia), the risk of death increases as the score increases:
* 0 to 1 <5% mortality
* 2 to 3 < 10% mortality
* 4 to 5 15-30% mortality

References

External links

* [http://www.brit-thoracic.org.uk British Thoracic Society]
* [http://www.icumedicus.com/clinical_criteria/pneumonia_severity_score.php ICU Medicus Pneumonia Severity Score] - online calculator for the CURB-65


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  • Curb — may refer to: Curb (road), or kerb, the edge where a raised pavement/sidewalk/footpath, road median, or road shoulder meets an unraised street or other roadway. Curb Records, a record label started by Mike Curb in 1973. Curb Your Enthusiasm, HBO… …   Wikipedia

  • Curb — Curb, n. 1. That which curbs, restrains, or subdues; a check or hindrance; esp., a chain or strap attached to the upper part of the branches of a bit, and capable of being drawn tightly against the lower jaw of the horse. [1913 Webster] He that… …   The Collaborative International Dictionary of English

  • curb — CURB, Ă, curbi, e, adj., s.f. I. adj. (Despre linii) În formă de arc; arcuit, încovoiat; (despre un plan) boltit. II. s.f. 1. Figură geometrică având o singură dimensiune; linie care nu este dreaptă. 2. Linie care reprezintă grafic o relaţie… …   Dicționar Român

  • Curb — (k[^u]rb), v. t. [imp. & p. p. {Curbed} (k[^u]rbd); p. pr. & vb. n. {Curbing}.] [F. courber to bend, curve, L.curvare, fr. curvus bent, curved; cf. Gr. kyrto s curved. Cf. {Curve}.] 1. To bend or curve. [Obs.] [1913 Webster] Crooked and curbed… …   The Collaborative International Dictionary of English

  • Curb — Студийный альбом Nickelback Дата выпуска 1 мая, 1996 25 июня, 2002 Записан …   Википедия

  • curb — [kʉrb] n. [ME & OFr courbe, curve, curb, orig., adj., curved, bent < L curvus: see CURVE] 1. a chain or strap passed around a horse s lower jaw and attached to the bit (curb bit): the curb checks the horse by causing it to lower its head when… …   English World dictionary

  • Curb — Saltar a navegación, búsqueda Curb álbum de estudio de Nickelback Publicación Septiembre de 1996 25 de junio de 2002 (re lanzamiento) …   Wikipedia Español

  • CURB-65 — Saltar a navegación, búsqueda El CURB 65 es una escala de predicción de mortalidad utilizada en pacientes con neumonía adquirida en la comunidad.[1] Está avalada por la British Thoracic Society para la valoración de la severidad de la… …   Wikipedia Español

  • Curb — Curb, v. i. To bend; to crouch; to cringe. [Obs.] [1913 Webster] Virtue itself of vice must pardon beg, Yea, curb and woo for leave to do him good. Shak. [1913 Webster] …   The Collaborative International Dictionary of English

  • curb — curb, kerb In BrE, curb is a noun meaning ‘a check or restraint’ and a verb meaning ‘to restrain’. As a noun it also means ‘a strap fastened to a bit on a horse’, and ‘a fender round a hearth’. In AmE, curb has these meanings and is also ‘a stone …   Modern English usage

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