Decision Rule - CURB-65 Score

CURB-65 Score for Pneumonia:

-Confusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  [No (+0 points)/Yes (+1 point)]

-BUN >19 mg/dL (>7 mmol/L) . . . . . . . . . . . . . . . . . . .  [No (+0 points)/Yes (+1 point)]

-Respiratory rate >30 bpm . . . . . . . . . . . . . . . . . . . . . .  [No (+0 points)/Yes (+1 point)]

-Systolic BP <90 mmHg or diastolic BP ≤60 mmHg  . .  [No (+0 points)/Yes (+1 point)]

-Age ≥65  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  [No (+0 points)/Yes (+1 point)]

TOTAL = [## points]

Patient is determined to be low risk (0-1 points) with a 1.5% mortality, and recommendation for close outpatient care.

Patient is determined to be moderate risk (2 points) with a mortality of 9.2%, and recommendation for inpatient versus observation admission.

Patient is determined to be high risk (≥3 points) with a mortality of 22% and inpatient treatment and consideration of ICU admission is recommended for a score of 4-5.

https://www.mdcalc.com/curb-65-score-pneumonia-severity