{"id":2529,"date":"2009-03-05T11:48:26","date_gmt":"2009-03-05T11:48:26","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/pulcap\/"},"modified":"2025-05-14T19:10:55","modified_gmt":"2025-05-14T19:10:55","slug":"pulcap","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/pulcap\/","title":{"rendered":"Puntuaciones de Severidad CURB-65 y CRB-65 para Neumon\u00eda Adquirida en la Comunidad (NAC)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Los puntajes de CURB y CRB-65 se pueden utilizar en el contexto hospitalario y ambulatorio para evaluar la gravedad de la neumon\u00eda y el riesgo de muerte.<br \/>\n<!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td width=\"302\"><strong>Factores cl\u00ednicos<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"113\"><strong>Puntos<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"302\">Confusi\u00f3n<\/td>\n<td style=\"text-align: center;\" width=\"113\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"302\">Urea nitrogenada s\u00e9rica &gt; 19 mg por dL<\/td>\n<td style=\"text-align: center;\" width=\"113\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"302\">Frecuencia respiratoria\u00a0<u>&gt;<\/u>\u00a030 resp. por minuto<\/td>\n<td style=\"text-align: center;\" width=\"113\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"302\">Presi\u00f3n arterial sist\u00f3lica &lt; 90 mm Hg<br \/>\no<br \/>\nPresi\u00f3n arterial diast\u00f3lica\u00a0<u>&lt;<\/u>\u00a060 mm Hg<\/td>\n<td style=\"text-align: center;\" width=\"113\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"302\">Edad\u00a0<u>&gt;<\/u>\u00a065 a\u00f1os<\/td>\n<td style=\"text-align: center;\" width=\"113\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"302\"><strong>Puntaje Total<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"113\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\" width=\"127\"><strong>Score CURB-65<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"132\"><strong>Mortalidad\u00a0(%)<\/strong><\/td>\n<td width=\"339\"><strong>Recomendaci\u00f3n<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"127\">0<\/td>\n<td style=\"text-align: center;\" width=\"132\">0.6<\/td>\n<td rowspan=\"2\" width=\"339\">Bajo riesgo; considerar tratamiento ambulatorio<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"127\">1<\/td>\n<td style=\"text-align: center;\" width=\"132\">2.7<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"127\">2<\/td>\n<td style=\"text-align: center;\" width=\"132\">6.8<\/td>\n<td width=\"339\">Corta hospitalizaci\u00f3n o tratamiento ambulatorio estrechamente supervisado<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"127\">3<\/td>\n<td style=\"text-align: center;\" width=\"132\">14.0<\/td>\n<td rowspan=\"2\" width=\"339\">Neumon\u00eda severa; hospitalizar y considerar la admisi\u00f3n a cuidados intensivos<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"127\">4 o\u00a05<\/td>\n<td style=\"text-align: center;\" width=\"132\">27.8<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\" width=\"127\"><strong>Score CRB-65<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"132\"><strong>Mortalidad\u00a0(%)<\/strong><\/td>\n<td width=\"339\"><strong>Recomendaci\u00f3n<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"127\">0<\/td>\n<td style=\"text-align: center;\" width=\"132\">0.9<\/td>\n<td width=\"339\">Muy bajo riesgo de muerte; usualmente no requiere hospitalizaci\u00f3n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"127\">1<\/td>\n<td style=\"text-align: center;\" width=\"132\">5.2<\/td>\n<td rowspan=\"2\" width=\"339\">Riesgo Incrementado de muerte; considerar hospitalizaci\u00f3n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"127\">2<\/td>\n<td style=\"text-align: center;\" width=\"132\">12.0<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"127\">3 o 4<\/td>\n<td style=\"text-align: center;\" width=\"132\">31.2<\/td>\n<td width=\"339\">Alto riesgo de muerte; hospitalizaci\u00f3n urgente<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\">CURB-65 = Confusion (Confusi\u00f3n), Urea nitrogen (Urea nitrogenada), Respiratory rate (Frecuencia respiratoria), Blood pressure (Presi\u00f3n arterial), 65 years of age and older (65 a\u00f1os de edad o m\u00e1s).<\/p>\n<p style=\"font-weight: 400;\">CRB-65 = Confusion (Confusi\u00f3n), Respiratory rate (Frecuencia respiratoria), Blood pressure (Presi\u00f3n arterial), 65 years of age and older (65 a\u00f1os de edad o m\u00e1s).<\/p>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Aujesky D, Auble TE, Yealy DM, Stone RA, Obrosky DS, Meehan TP, Graff LG, Fine JM, Fine MJ.\u00a0Prospective comparison of three validated prediction rules for prognosis in community-acquired pneumonia. Am J Med. 2005 Apr;118(4):384-92.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15808136\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Lim WS, van der Eerden MM, Laing R, Boersma WG, Karalus N, Town GI, Lewis SA, Macfarlane JT.\u00a0Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study. Thorax. 2003 May;58(5):377-82.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12728155\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Mar 20, 2007<\/p>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Los puntajes de CURB y CRB-65 se pueden utilizar en el contexto hospitalario y ambulatorio para evaluar la gravedad de la neumon\u00eda y el riesgo de muerte.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[233],"tags":[1622,1430,1429,1436,1437,1438,1621,1344,1433,985,984,29,1620,226,180,1375],"class_list":["post-2529","post","type-post","status-publish","format-standard","hentry","category-pulmonary","tag-1622","tag-acquired","tag-adquirida","tag-cap","tag-community","tag-comunidad","tag-curb","tag-infectious","tag-nac","tag-neumonia","tag-pneumonia","tag-pulmonary","tag-scores","tag-severidad","tag-severity","tag-uti"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2529","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2529"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2529\/revisions"}],"predecessor-version":[{"id":9381,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2529\/revisions\/9381"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2529"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2529"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2529"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}