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Description

Sarikaya and Karasahin et al reported the CURB-65+B score for predicting mortality in a patient with Crimean Congo Hemorrhagic Fever (CCHF). The authors are from Health Sciences University Erzurum Regional Training and Research Hospital in Turkey.


Patient selection: Crimean Congo Hemorrhagic Fever

 

Parameters at time of hospital admission:

(1) CURB-65, from 0 to 5 (confusion, urea, respiratory rate, blood pressure, age > 65)

(2) bleeding/hemorrhage (gingival, GI trract, urogenital, respiratory, musculoskeeltal, etc)

 

Parameter

Finding

Points

bleeding/hemorrhage

absent

0

 

present

1

 

total score =

= (points for CURB-65) + (points for bleeding)

 

Interpretation:

• minimum score: 0

• maximum score: 6

• A score > 3 predicts mortality.

• No patient with a score of 0 died.

 

Performance:

• The sensitivity was 0.88 and specificity 0.96.

• The predictive power for mortality was 0.97.


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