CURB-65 Score
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Community-acquired pneumonia

Severity can be assessed by using the CURB-65 score (1 point for each):

  • Confusion
  • Urea >7mmol/L
  • Respiratory rate ≥ 30/min
  • BP < 90 systolic and/or 60mmHg diastolic
  • Age ≥ 65

Score:

  • 0-1 home treatment possible
  • 2 hospital therapy
  • ≥ 3 indicates severe pneumonia

Treatments depend on the score, and there are usually local hospital guidelines to follow.

The score can also be used to predict 30-day mortality:
Score

  • 0 – 0.6%
  • 1 – 3.2%
  • 2 – 13%
  • 3 – 17%
  • 4 – 41.5%
  • 5 – 57%

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Dr Tom Leach

Dr Tom Leach MBChB DCH EMCert(ACEM) currently works as a GP Registrar and an Emergency Department CMO in Australia. He is also a Clinical Associate Lecturer at the Australian National University. After graduating from his medical degree at the University of Manchester in 2011, Tom completed his Foundation Training at Bolton Royal Hospital, before moving to Australia in 2013. He started almostadoctor whilst a third year medical student in 2009. Read full bio

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