Is CURB-65 usually in managing community acquired pneumonia?Created by:
Community acquired pneumonia is the infection of the lung, that is acquired in community settling. And this is different from hospital acquired pneumonia. Community acquire pnuemonia can be a serious disease, particular in elderly population, and patients with other significant comorbidities. CURB-65 is 1 of the scores used as clinical prediction for the severity of community acquired pneumonia, and hence used to tailor the treatment decision. CURB-65 is based on 5 parametes, whic are, C-Confusion, U-Urea more than 7 mmol/l, R-Resporatoty rate more than 30 per minute, B-Blood pressure (systolic less than 90 mm Hg or diastolic less than 60 mm Hg), A-Age more than 65 years old. The risk of 30 days death increases, as the score increases, the score of 0-1 can be treated as outpatien, score of 2 consider hospital stay. Scorre 3-5, consider hospital stay plus/minus require HDU/ICU stay... How useful is CURB-65 in clinical settling ??? Can we just based on this score in the managment of community acquire pneumonia?