Abisheganaden et al modified the original CURB (Confusion, Urea, Respiratory rate, Blood pressure) score to evaluate an older adult hospitalized for community-acquired pneumonia (CAP). This can help to identify a patient who may benefit from more aggressive management. The authors are from Tan Tock Seng Hospital, National Healthcare Group Health Services and Outcomes Research and National University Hospital Singapore.
Patient selection: adult >= 55 years with community-acquired pneumonia
Parameters:
(1) CURB score
(2) age in years
(3) solid cancer
(4) stroke
|
Parameter |
Finding |
Points |
|
CURB score |
0 |
0 |
|
|
1 |
2 |
|
|
2 |
3 |
|
|
3 or 4 |
6 |
|
age in years |
55 to 64 |
6 |
|
|
65 to 74 |
7 |
|
|
75 to 84 |
8 |
|
|
85 to 94 |
9 |
|
|
95 to 104 |
10 |
|
solid cancer |
none |
0 |
|
|
without metastasis |
1 |
|
|
with metastasis |
6 |
|
stroke |
no |
0 |
|
|
yes |
1 |
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 6
• maximum score: 23
• The higher the score worse the prognosis.
|
Score |
30-Day Mortality Rate |
|
6 |
1% |
|
7 |
3% |
|
8 |
5% |
|
9 |
13% |
|
10 |
18% |
|
11 |
27% |
|
12 |
42% |
|
13 |
49% |
|
14+ |
63% |
Specialty: Infectious Diseases, Pulmonology
