词条 | CURB-65 | ||||||||||||||
释义 |
The score is an acronym for each of the risk factors measured. Each risk factor scores one point, for a maximum score of 5:
Predicting deathPneumoniaThe risk of death at 30 days increases as the score increases:[1]
The CURB-65 has been compared to the pneumonia severity index in predicting mortality from pneumonia.[6] It was shown that the PSI has a higher discriminatory power for short-term mortality, and thus is more accurate for low risk patients than the CURB-65 or its predecessor, the CURB score.[3] However, the PSI is more complicated and requires arterial blood gas sampling amongst other tests; given this, the CURB-65 score is more easily used in primary care settings.[7] A variant of the CURB-65 that omits the urea measurement (CRB-65)[7] is even simpler, as it relies only on history and examination findings rather than blood tests. The CURB-65 is used as a means of deciding the action that is needed to be taken for that patient.
Any infectionPatients with any type of infection (half of the patients had pneumonia), the risk of death increases as the score increases:[2]
References1. ^1 2 {{cite journal |vauthors=Lim WS, van der Eerden MM, Laing R |title=Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study |journal=Thorax |volume=58 |issue=5 |pages=377–82 |year=2003 |pmid=12728155 |doi=10.1136/thorax.58.5.377 |pmc=1746657|display-authors=etal}} {{Respiratory system procedures}}2. ^1 {{cite journal |vauthors=Howell MD, Donnino MW, Talmor D, Clardy P, Ngo L, Shapiro NI |title=Performance of severity of illness scoring systems in emergency department patients with infection |journal=Academic Emergency Medicine |volume=14 |issue=8 |pages=709–14 |year=2007 |pmid=17576773 |doi=10.1197/j.aem.2007.02.036}} 3. ^1 {{cite journal |vauthors=Lim WS, Macfarlane JT, Boswell TC |title=Study of community acquired pneumonia aetiology (SCAPA) in adults admitted to hospital: implications for management guidelines |journal=Thorax |volume=56 |issue=4 |pages=296–301 |year=2001 |pmid=11254821 |doi=10.1136/thorax.56.4.296 |pmc=1746017|display-authors=etal}} 4. ^{{cite journal |title=BTS Guidelines for the Management of Community Acquired Pneumonia in Adults |series= 56 |journal=Thorax |volume=Suppl 4 |issue= |pages=IV1–64 |year=2001 |pmid=11713364 |doi= 10.1136/thx.56.suppl_4.iv1|author1= British Thoracic Society Standards of Care Committee |pmc= 1765992}} 5. ^{{cite web |title=Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit. Content last reviewed January 2018. |year=2018 |url= https://www.ahrq.gov/professionals/quality-patient-safety/hais/tools/ambulatory-care/cap-toolkit.html |author1= Agency for Healthcare Research and Quality, Rockville, MD.}} 6. ^{{cite journal |vauthors=Aujesky D, Auble TE, Yealy DM |title=Prospective comparison of three validated prediction rules for prognosis in community-acquired pneumonia |journal=Am. J. Med. |volume=118 |issue=4 |pages=384–92 |year=2005 |pmid=15808136 |doi=10.1016/j.amjmed.2005.01.006|display-authors=etal}} 7. ^1 {{cite journal |author=Ebell MH. |title=Outpatient vs. inpatient treatment of community acquired pneumonia. |journal=Fam Pract Manag |volume=13 |issue=4 |pages=41–4 |year=2006 |pmid=16671349 }} 2 : Pulmonology|Medical scales |
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