A duracao recomendada do tratamento, detalhada no quadro 5 j bras pneumol. Curb65, also known as the curb criteria, is a clinical prediction rule that has been validated for predicting mortality in communityacquired pneumonia and. Our severity prediction model generated from continuous, weighted curb65 elements was superior to the traditional curb65, with an outofbag auc of 0. Crb65 score and mortality in community acquired pneumonia. Comparison of curb and crb as predictors of death in community acquired pneumonia in adults admitted to an icu. Criterios medicos, definiciones, indicaciones, contraindicaciones, clasificaciones, diagnosticos. Defining community acquired pneumonia severity on presentation to hospital. The psiport score is a useful tool which provides an excellent risk stratification of community acquired pneumonia. The traditional, binary curb65 score predicted mortality in the us cohort with an area under the curve auc of 0. Compared to the 20variable pneumonia severity index psi, the curb 65 score is much easier to remember and apply clinically. Pneumonia adquirida na comunidade criterios bmj best practice.
One point is awarded for each of the following on initial presentation. The curb 65 is based on the earlier curb score and is recommended by the british thoracic society for the assessment of severity of pneumonia. The curb65 confusion, uremia, respiratory rate, bp, age. Simp3 pneumonia comunitaria e pneumonia hospitalar em adultos. Diagnosis and treatment of adults with communityacquired pneumonia. Curb65 and crb65 severity scores for communityacquired pneumonia clinical factor points confusion 1 blood urea nitrogen 19 mg per dl 1 respiratory rate. It was developed in 2002 at the university of nottingham by dr. The curb65 severity score estimates mortality of communityacquired pneumonia to help determine inpatient vs. For most patients however, the curb65 is easier to use and requires fewer inputs. The curb65 is based on the earlier curb score and is recommended by the british thoracic society for the assessment of severity of pneumonia. For most patients however, the curb 65 is easier to use and requires fewer inputs.
In comparison to the psi, curb 65 offers equal sensitivity of mortality prediction due to community acquired pneumonia. Factores clinicos puntos confusion 1 urea nitrogenada serica 19 mg por dl 1 frecuencia respiratoria 30 resp. Curb 65, also known as the curb criteria, is a clinical prediction rule that has been validated for predicting mortality in communityacquired pneumonia and infection of any site. Severe community acquired pneumonia, curb65, ats criteria, general ward, prog. Acquiredcommunity pneumonia, mortality, qsofa, curb65. Pneumonia severity scores royal melbourne hospital. Accurate severity assessment is crucial to the initial management of communityacquired pneumonia cap. Patients with communityacquired pneumonia cap can be stratified into mortality risk groups using a fivepoint score.
Pneumonia adquirida na comunidade symptoms, diagnosis and. In the curb 65 score, one point is awarded for each of the following. Laing r, boersma wg, karalus n, town gi, lewis sa, macfarlane jt. Curb65, also known as the curb criteria, is a clinical prediction rule that has been validated for predicting mortality in communityacquired pneumonia and infection of any site. Iiii del pneumonia severity index psi5, sin diferen. Pneumonia adquirida na comunidade symptoms, diagnosis.