• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home The Classics Emergency Classics

The CURB-65 score: Risk stratifying patients with community-acquired pneumonia [Classics Series]

byAndrew Cheung, MD MBA
November 9, 2014
in Emergency Classics, General Medicine Classics, The Classics
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. Patients with community-acquired pneumonia (CAP) can be stratified into mortality risk groups using a five-point score.

2. One point is awarded for each of the following on initial presentation: Confusion, Urea >7 mmol/L, Respiratory rate >30/min, low systolic (<90 mm Hg) or diastolic (<60 mm Hg) Blood pressure, age >65 years.

3. Patients who receive a score of ≥3 are at a high-risk of mortality (>19%) and should be treated in hospital.

Original Date of Publication: May 2003

Study Rundown: The CURB-65 score was developed as a simple five-point clinical tool for risk stratifying patients presenting with community-acquired pneumonia. Patients with a score of 0-1 may suitable for home management (i.e., low-risk). Patients with a score of 2 may require a short inpatient stay (i.e., intermediate-risk), while those with scores ≥3 should be managed in hospital (i.e., high-risk). Compared to the 20-variable Pneumonia Severity Index (PSI), the CURB-65 score is much easier to remember and apply clinically. In the CURB-65 score, one point is awarded for each of the following: confusion, urea >7mmol/L, respiratory rate >30/min, low systolic (<90 mmHg) or diastolic (<60 mm Hg) blood pressure, and age >65 years on initial assessment. This prospective cohort study describes how the score was derived and validated. In summary, the CURB-65 score is a simple tool to aid clinical decision-making in stratifying patients presenting with community-acquired pneumonia into low-, intermediate-, and high-risk groups in terms of mortality, thereby assisting in management decisions.

Click to read study in Thorax

RELATED REPORTS

The 2 Minute Medicine Podcast Episode 54

The Scan by 2 Minute Medicine®: Measles Outbreak, Tariffs and Healthcare, Pope’s Pneumonia, and Removing Fluoride from Water:

Biomarkers may help guide antibiotic stewardship in community acquired pneumonia

In Depth [prospective, cohort]: Data from 1,068 adult patients admitted with CAP in three prospective studies (conducted in the UK, New Zealand, and the Netherlands) were amalgamated. The main outcome measure was 30-day mortality. The dataset was divided into an 80% derivation cohort and a 20% validation cohort. Based on the modified British Thoracic Society (mBTS) assessment tool, the association between the “CURB” score and 30 day-mortality was examined, and prognostic variables were elucidated, including newly identified independent factors separate from CURB. Prognostic features not readily available during an initial hospital assessment were excluded from the clinical prediction rule for practical relevance. The CURB-65 (a six-point score from 0 to 5, one point for each variable present) enabled patients to be stratified according to mortality risk. The score involved one point for each of Confusion, Urea >7 mmol/L, Respiratory rate >30/min, low systolic (<90 mm Hg) or diastolic (<60 mm Hg) Blood pressure, and age >65 years on initial patient assessment. All results were tested against the aforementioned validation cohort, which confirmed the increasing mortality pattern.

CURB-65 score

Mortality risk

0

0.7%

1

3.2%

2

3%

3

17%

4

41.5%

5

57%

Image: PD

©2012-2014 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.

Tags: curb-65curb65pneumonia
Previous Post

Combined therapy during CPR improves neurological outcomes

Next Post

Radium-223 prolongs survival in metastatic prostate cancer patients

RelatedReports

The 2 Minute Medicine Podcast Episode 15
2MM Podcast

The 2 Minute Medicine Podcast Episode 54

March 21, 2025
The Scan by 2 Minute Medicine®:  Ultra-Trail du Mont-Blanc, Taylor Swift, NBA rookie Chet Holmgren and Magic Mushrooms!
The Scan by 2 Minute Medicine®

The Scan by 2 Minute Medicine®: Measles Outbreak, Tariffs and Healthcare, Pope’s Pneumonia, and Removing Fluoride from Water:

March 18, 2025
Prescription of antibiotics for acute respiratory infections increasing
Emergency

Biomarkers may help guide antibiotic stewardship in community acquired pneumonia

August 26, 2024
Lisinopril and carvedilol reduce cardiotoxicity in breast cancer patients receiving trastuzumab and anthracyclines
Cardiology

Use of fluoroquinolones and may increase the risk of aortic and mitral regurgitation

July 30, 2024
Next Post
Cost-related medication nonadherence associated with increased ED utilization

Radium-223 prolongs survival in metastatic prostate cancer patients

Smokeless tobacco use in children has not changed

Lung cancer screening with low-dose CT most effective for those at high risk

Pancreatic islet autotransplantation a potential treatment for malignant disease

Pancreatic islet autotransplantation a potential treatment for malignant disease

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Structured exercise intervention improves survival in colon cancer patients
  • #VisualAbstract: Neoadjuvant and Adjuvant Pembrolizumab in Locally Advanced Head and Neck Cancer
  • Cerebral embolic protection does not decrease stroke incidence in TAVI patients
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.