{"id":28855,"date":"2022-06-22T10:02:06","date_gmt":"2022-06-22T08:02:06","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=28855"},"modified":"2022-06-22T10:02:06","modified_gmt":"2022-06-22T08:02:06","slug":"curb-65-and-crb-65-score","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/en\/digital-doctors-bag\/curb-65-and-crb-65-score\/","title":{"rendered":"CURB-65 and CRB-65 Score"},"content":{"rendered":"<p>CURB-65 or CRB-65 is an acronym used to estimate the severity of community-acquired pneumonia. The parameters considered are Confusion, Blood Urea Nitrogen (BUN, optional), Respiratory rate, Blood pressure, and Age (\u2265 65 years). The CRB-65 score omits BUN, but the sensitivity is still comparable to that of the CURB-65 score.<\/p>\n    <div class=\"medical-calculator curb65\" id=\"medical-calculator-curb65\">\r\n        <form>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label mt-auto\">\r\n                                    Confusion\r\n                                <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"clouded-consciousness\" id=\"medical-calculator-curb65-clouded-consciousness-n\" value=\"N\" tabindex=\"1\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"clouded-consciousness\" id=\"medical-calculator-curb65-clouded-consciousness-y\" value=\"Y\" tabindex=\"2\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Elevated blood urea nitrogen (BUN)<br \/>\r\n                    <span class=\"label-lighter\">BUN > 7 mmol\/l or > 19 mg\/dl<\/span>\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-sm-2\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"increased-urea\" id=\"medical-calculator-curb65-increased-urea-1\" value=\"1\" tabindex=\"3\" autocomplete=\"off\">\r\n                                                        Unknown\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"increased-urea\" id=\"medical-calculator-curb65-increased-urea-2\" value=\"2\" tabindex=\"4\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"increased-urea\" id=\"medical-calculator-curb65-increased-urea-3\" value=\"3\" tabindex=\"5\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label mt-auto\">\r\n                                        Tachypnea<br \/>\r\n                    <span class=\"label-lighter\">Respiratory rate &ge; 30\/min<\/span>\r\n                                    <\/div>\r\n                <div class=\"col-sm-4 mt-sm-2\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"tachypnea\" id=\"medical-calculator-curb65-tachypnea-n\" value=\"N\" tabindex=\"6\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"tachypnea\" id=\"medical-calculator-curb65-tachypnea-y\" value=\"Y\" tabindex=\"7\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Hypotension<br \/>\r\n                    <span class=\"label-lighter\">Blood pressure systolic &lt; 90 mmHg or diastolic &le; 60 mmHg<\/span>\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-sm-2\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"hypotonia\" id=\"medical-calculator-curb65-hypotonia-n\" value=\"N\" tabindex=\"8\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"hypotonia\" id=\"medical-calculator-curb65-hypotonia-y\" value=\"Y\" tabindex=\"9\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label mt-auto\">\r\n                                    Age &ge; 65 years\r\n                                <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"age-ge65\" id=\"medical-calculator-curb65-age-ge65-n\" value=\"N\" tabindex=\"10\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"age-ge65\" id=\"medical-calculator-curb65-age-ge65-y\" value=\"Y\" tabindex=\"11\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/form>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12\">\r\n                <div id=\"medical-calculator-curb65-result-text\" class=\"result-text\">\r\n                    <p><h5>\r\n                                                <span id=\"medical-calculator-curb65-result-label\"><\/span> Score: \r\n                         <span id=\"medical-calculator-curb65-result-value\"><\/span><\/h5><\/p>\r\n                    <p id=\"medical-calculator-curb65-result-recommendation\"><\/p>\r\n                    <p>                        30-day mortality:\r\n                                        <span id=\"medical-calculator-curb65-result-mortality\"><\/span>\r\n                    <\/p>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            Interpretation\r\n                                    <\/h5>\r\n                <div class=\"table-responsive-sm\" id=\"medical-calculator-curb65-table-curb-65\">\r\n                    <table class=\"table table-bordered\">\r\n                        <thead>\r\n                            <tr>\r\n                                <th>\r\n                                                                            CURB-65 score\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            30-day mortality\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Recommendation\r\n                                                                    <\/th>\r\n                            <\/tr>\r\n                        <\/thead>\r\n                        <tbody>\r\n                            <tr class=\"table-row-a\">\r\n                                <td>\r\n                                                                            0\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            0.6 %\r\n                                                                    <\/td>\r\n                                <td rowspan=\"2\">\r\n                                                                            Outpatient treatment possible\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-b\">\r\n                                <td>\r\n                                                                            1\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            2.7 %\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-c\">\r\n                                <td>\r\n                                                                            2\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            6.8 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            Admission recommended\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-d\">\r\n                                <td>\r\n                                                                            3\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            14 %\r\n                                                                    <\/td>\r\n                                <td rowspan=\"2\">\r\n                                                                            Admission with intensive medical care recommended\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-e\">\r\n                                <td>\r\n                                                                            4-5\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            27.8 %\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                        <\/tbody>\r\n                    <\/table>\r\n                <\/div>\r\n                <div class=\"table-responsive-sm\" id=\"medical-calculator-curb65-table-crb-65\">\r\n                    <table class=\"table table-bordered\">\r\n                        <thead>\r\n                            <tr>\r\n                                <th>\r\n                                                                            CRB-65 Score\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            30-day mortality\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Recommendation\r\n                                                                    <\/th>\r\n                            <\/tr>\r\n                        <\/thead>\r\n                        <tbody>\r\n                            <tr class=\"table-row-a\">\r\n                                <td>\r\n                                                                            0\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            0.9 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            Outpatient treatment possible\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-b\">\r\n                                <td>\r\n                                                                            1\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            5.2 %\r\n                                                                    <\/td>\r\n                                <td rowspan=\"2\">\r\n                                                                            Admission recommended\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-c\">\r\n                                <td>\r\n                                                                            2\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            12 %\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-d\">\r\n                                <td>\r\n                                                                            3-4\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            31.2 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            Admission with intensive medical care recommended\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                        <\/tbody>\r\n                    <\/table>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            References\r\n                                    <\/h5>\r\n                <ol class=\"references\">\r\n                    <li id=\"curb65-cite-note-1\">Lim WS, van der Eerden MM, Laing R et al. Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study. Thorax 2003; 58: 377-382<\/li>\r\n                    <li id=\"curb65-cite-note-2\">Aujesky D, Auble TE, Yealy DM et al. Prospective comparison of three validated prediction rules for prognosis in community-acquired pneumonia. Am J Med 2005; 118: 384-392<\/li>\r\n                <\/ol>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n    <script type=\"text\/javascript\">\r\n                var medical_calculator_curb65_messages = {\r\n            'recommendation_outpatient_possible' : 'Outpatient treatment possible',\r\n            'recommendation_inpatient' : 'Admission recommended',\r\n            'recommendation_inpatient_intcare' : 'Admission with intensive medical care recommended',\r\n            'point' : 'point',\r\n            'points' : 'points'\r\n        };\r\n            <\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>CURB-65 or CRB-65 is an acronym used to estimate the severity of community-acquired pneumonia. The parameters considered are Confusion, Blood Urea Nitrogen (BUN, optional), Respiratory rate, Blood pressure, and Age (\u2265 65 years). The CRB-65 score omits BUN, but the sensitivity is still comparable to that of the CURB-65 score.<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":28833,"menu_order":135,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-28855","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28855","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/comments?post=28855"}],"version-history":[{"count":1,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28855\/revisions"}],"predecessor-version":[{"id":28856,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28855\/revisions\/28856"}],"up":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28833"}],"wp:attachment":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/media?parent=28855"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}