{"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\/pulcap\/","title":{"rendered":"CURB-65 and CRB-65 Severity Scores for Community-Acquired Pneumonia (CAP)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" 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>CURB and CRB-65 scores can be used in the hospital and out-patients setting to assess pneumonia severity and the risk of death.<br \/>\n<!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"border: 1pt solid windowtext; padding: 0cm 5.4pt; width: 226.4pt;\" valign=\"top\" width=\"302\">\n<p class=\"MsoNormal\"><strong> Clinical factor <\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 85pt; border: 1pt 1pt 1pt medium solid solid solid none windowtext windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"113\">\n<p class=\"MsoNormal\"><strong> Points<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 226.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"302\">\n<p class=\"MsoNormal\">Confusion<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 85pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"113\">\n<p class=\"MsoNormal\">1<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 226.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"302\">\n<p class=\"MsoNormal\">Blood urea nitrogen &gt; 19 mg per dL<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 85pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"113\">\n<p class=\"MsoNormal\">1<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 226.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"302\">\n<p class=\"MsoNormal\">Respiratory rate <span style=\"text-decoration: underline;\">&gt;<\/span> 30 breaths per minute<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 85pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"113\">\n<p class=\"MsoNormal\">1<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 226.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"302\">\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Systolic blood pressure &lt; 90 mm Hg<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">or<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Diastolic blood pressure <span style=\"text-decoration: underline;\">&lt;<\/span> 60 mm Hg<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 85pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"113\">\n<p class=\"MsoNormal\">1<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 226.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"302\">\n<p class=\"MsoNormal\">Age <span style=\"text-decoration: underline;\">&gt;<\/span> 65 years<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 85pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"113\">\n<p class=\"MsoNormal\">1<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 226.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"302\">\n<p class=\"MsoNormal\"><strong> Total points:<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 85pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"113\">\n<p class=\"MsoNormal\">\n<\/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=\"border: 1pt solid windowtext; padding: 0cm 5.4pt; width: 95.4pt;\" align=\"center\" valign=\"top\" width=\"127\">\n<p class=\"MsoNormal\"><strong> CURB-65 score <\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 99pt; border: 1pt 1pt 1pt medium solid solid solid none windowtext windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"132\">\n<p class=\"MsoNormal\"><strong> Mortality (%)<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 254.5pt; border: 1pt 1pt 1pt medium solid solid solid none windowtext windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"339\">\n<p class=\"MsoNormal\"><strong> Recommendation<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 95.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" align=\"center\" valign=\"top\" width=\"127\">\n<p class=\"MsoNormal\">0<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 99pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"132\">\n<p class=\"MsoNormal\">0.6<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 254.5pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" rowspan=\"2\" valign=\"top\" width=\"339\">\n<p class=\"MsoNormal\">Low risk; consider home treatment<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 95.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" align=\"center\" valign=\"top\" width=\"127\">\n<p class=\"MsoNormal\">1<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 99pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"132\">\n<p class=\"MsoNormal\">2.7<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 95.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" align=\"center\" valign=\"top\" width=\"127\">\n<p class=\"MsoNormal\">2<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 99pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"132\">\n<p class=\"MsoNormal\">6.8<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 254.5pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"339\">\n<p class=\"MsoNormal\">Short inpatient hospitalization or closely supervised outpatient treatment<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 95.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" align=\"center\" valign=\"top\" width=\"127\">\n<p class=\"MsoNormal\">3<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 99pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"132\">\n<p class=\"MsoNormal\">14.0<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 254.5pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" rowspan=\"2\" valign=\"top\" width=\"339\">\n<p class=\"MsoNormal\">Severe pneumonia; hospitalize and consider admitting to intensive care<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 95.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" align=\"center\" valign=\"top\" width=\"127\">\n<p class=\"MsoNormal\">4 or 5<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 99pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"132\">\n<p class=\"MsoNormal\">27.8<\/p>\n<\/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=\"border: 1pt solid windowtext; padding: 0cm 5.4pt; width: 95.4pt;\" align=\"center\" valign=\"top\" width=\"127\">\n<p class=\"MsoNormal\"><strong> CRB-65 score<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 99pt; border: 1pt 1pt 1pt medium solid solid solid none windowtext windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"132\">\n<p class=\"MsoNormal\"><strong> Mortality (%)<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 254.5pt; border: 1pt 1pt 1pt medium solid solid solid none windowtext windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"339\">\n<p class=\"MsoNormal\"><strong> Recommendation<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 95.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" align=\"center\" valign=\"top\" width=\"127\">\n<p class=\"MsoNormal\">0<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 99pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"132\">\n<p class=\"MsoNormal\">0.9<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 254.5pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"339\">\n<p class=\"MsoNormal\">Very low risk of death; usually does not require hospitalization<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 95.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" align=\"center\" valign=\"top\" width=\"127\">\n<p class=\"MsoNormal\">1<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 99pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"132\">\n<p class=\"MsoNormal\">5.2<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 254.5pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" rowspan=\"2\" valign=\"top\" width=\"339\">\n<p class=\"MsoNormal\">Increased risk of death; consider hospitalization<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 95.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" align=\"center\" valign=\"top\" width=\"127\">\n<p class=\"MsoNormal\">2<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 99pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"132\">\n<p class=\"MsoNormal\">12.0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 0cm 5.4pt; width: 95.4pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" align=\"center\" valign=\"top\" width=\"127\">\n<p class=\"MsoNormal\">3 or 4<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 99pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" align=\"center\" valign=\"top\" width=\"132\">\n<p class=\"MsoNormal\">31.2<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 254.5pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"339\">\n<p class=\"MsoNormal\">High risk of death; urgent hospitalization<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"MsoNormal\">CURB-65 = Confusion, Urea nitrogen, Respiratory rate, Blood pressure, 65 years of age and older.<\/p>\n<p class=\"MsoNormal\">CRB-65 = Confusion, Respiratory rate, Blood pressure, 65 years of age and older.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>References:<\/strong><\/p>\n<ol>\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>Created: Mar 20, 2007<\/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>Sorry, this entry is only available in Espa\u00f1ol.<\/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\/wp-json\/wp\/v2\/posts\/2529","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2529"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2529\/revisions"}],"predecessor-version":[{"id":9381,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2529\/revisions\/9381"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2529"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2529"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2529"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}