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.
