Community-acquired pneumonia (CAP) mortality – CURB-65

Decision

Mortality with community-acquired pneumonia

Population

Clinic

Score

Components (1 point for each):

  • Confusion of new onset
  • Urea >7 mmol/L
  • Respiratory rate >30
  • Blood pressure <90 systolic or <60 diastolic
  • Over 65 years of age

The CRB-65 rule is similar, but excludes the lab value of urea

Mortality

CURB-65 score:

  1. 7.5%
  2. 14.5%
  3. 26.7%
  4. 53.3%
  5. 100%

CRB-65 score:

  1. 6.6%
  2. 26.1%
  3. 40.5%
  4. 50%

Reference

Ochoa-Gondar O, Vila-Corcoles A, Rodriguez-Blanco T, et al. Comparison of three predictive rules for assessing severity in elderly patients with CAP. Int J Clin Pract 2011;65(11):1165-1172.