Curb-65
Synonym(s)
CURB-65 index; CURB 65 Score
DefinitionThis section has been translated automatically.
CURB-65 is the acronym for a simple (and well evaluated-Ilg A et al. 2019) clinical evaluation system for patients with pneumonia.
The individual letters stand for:
- C = Confusion: Pneumonia-related confusion (disorientation to place, time or person)
- U = Urea (serum urea): > 7 mmol/L
- R = Respiratory rate: > 30/min
- B = Blood pressure: Systolic below 90 mmHg or diastolic below 60 mmHg
- 65 = Patient is ≥ 65 years old
General informationThis section has been translated automatically.
The score is used to quickly assess the severity of the disease and the associated intensity of the therapy measure. A maximum of 5 points are awarded, which are associated with different lethality (values in brackets - Ilg A et al. 2019) and thus give an indication of whether patients can be treated as outpatients or should be treated as inpatients or even in intensive care.
- Score 0: (1-2%)
- Score 1-2: (13%)
- Score 3-4(5): (>31%)
Note(s)This section has been translated automatically.
Similar scores for risk stratification of community acquired pneumonia (CAP) are the CURB index (without taking age into account) and the CRB-65 index (without taking urea (U) in serum into account).
LiteratureThis section has been translated automatically.
- Ilg A et al (2019) Performance of the CURB-65 Score in Predicting Critical Care Interventions in Patients Admitted With Community-Acquired Pneumonia. Ann Emerg Med 74:60-68.
- Murillo-Zamora E et al (2018) Performance of the PSI and CURB-65 scoring systems in predicting 30-day mortality in healthcare-associated pneumonia. Med Clin (Barc) 150:99-103.
- Pflug MA et al.(2015) Short-term mortality of adult inpatients with community-acquired pneumonia: external validation of a modified CURB-65 score. Postgraduate Med J 91:77-82.