{"id":13836,"date":"2020-10-27T09:27:51","date_gmt":"2020-10-27T08:27:51","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=13836"},"modified":"2020-10-27T09:27:51","modified_gmt":"2020-10-27T08:27:51","slug":"scores-curb-65-et-crb-65","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/fr\/calculateurs\/scores-curb-65-et-crb-65\/","title":{"rendered":"Scores CURB-65 et CRB-65"},"content":{"rendered":"<p>Les scores CURB-65 et CRB-65 permettent d\u2019\u00e9valuer la gravit\u00e9 des pneumonies acquises en communaut\u00e9. Leur acronyme correspond \u00e0 Confusion mentale, Ur\u00e9e (optionnel), fr\u00e9quence Respiratoire, pression sanguine (Blood pressure) et \u00e2ge (\u2265 65 ans). Le score CRB-65 ne prend pas en compte l\u2019ur\u00e9mie, mais sa sensibilit\u00e9 reste tout de m\u00eame comparable \u00e0 celle du score CURB-65.<\/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                                    \u00c9tat confusionnel\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                                                        Non\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                                                        Oui (+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                                    Ur\u00e9mie augment\u00e9e<br \/>\r\n                    <span class=\"label-lighter\">Ur\u00e9e > 7 mmol\/l<\/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                                                        Inconnu\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                                                        Non\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                                                        Oui (+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                                        Tachypn\u00e9e<br \/>\r\n                    <span class=\"label-lighter\">Fr\u00e9quence respiratoire &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                                                        Non\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                                                        Oui (+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\">TA systolique &lt; 90 mmHg ou diastolique &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                                                        Non\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                                                        Oui (+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                                    \u00c2ge &ge; 65 ans\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                                                        Non\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                                                        Oui (+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                                                Score <span id=\"medical-calculator-curb65-result-label\"><\/span>:\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>                        Mortalit\u00e9 \u00e0 30 jours:\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                                            Interpr\u00e9tation\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                                                                            Score CURB-65\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Mortalit\u00e9 \u00e0 30 jours\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Recommandation\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                                                                            Traitement ambulatoire 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                                                                            Prise en charge stationnaire recommand\u00e9e\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                                                                            Prise en charge stationnaire aux soins intensifs\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-e\">\r\n                                <td>\r\n                                                                            4 \u00e0 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                                                                            Score CRB-65\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Mortalit\u00e9 \u00e0 30 jours\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Recommandation\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                                                                            Traitement ambulatoire 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                                                                            Prise en charge stationnaire recommand\u00e9e\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 \u00e0 4\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            31.2 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            Prise en charge stationnaire aux soins intensifs\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                                            R\u00e9f\u00e9rences\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' : 'Traitement ambulatoire possible',\r\n            'recommendation_inpatient' : 'Prise en charge stationnaire recommand\u00e9e',\r\n            'recommendation_inpatient_intcare' : 'Prise en charge stationnaire aux soins intensifs',\r\n            'point' : 'point',\r\n            'points' : 'points'\r\n        };\r\n            <\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>Les scores CURB-65 et CRB-65 permettent d\u2019\u00e9valuer la gravit\u00e9 des pneumonies acquises en communaut\u00e9. Leur acronyme correspond \u00e0 Confusion mentale, Ur\u00e9e (optionnel), fr\u00e9quence Respiratoire, pression sanguine (Blood pressure) et \u00e2ge (\u2265 65 ans). Le score CRB-65 ne prend pas en compte l\u2019ur\u00e9mie, mais sa sensibilit\u00e9 reste tout de m\u00eame comparable \u00e0 celle du score CURB-65.<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":7598,"menu_order":561,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-13836","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13836","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/comments?post=13836"}],"version-history":[{"count":1,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13836\/revisions"}],"predecessor-version":[{"id":13837,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13836\/revisions\/13837"}],"up":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/7598"}],"wp:attachment":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/media?parent=13836"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}