CURB-65 for pneumonia severity
30-day mortality in community-acquired pneumonia to guide site of care.
Inputs
Confusion
BUN above 19 mg/dL (urea above 7 mmol/L)
Respiratory rate 30 or higher
SBP below 90 or DBP 60 or below
Age 65 or older
Worked calculation
Your values are highlighted.
- Points
When to use
- Adults with community-acquired pneumonia.
Pearls and pitfalls
- US guidelines prefer the PSI for site-of-care decisions; CURB-65 is a quick alternative.
Why use
Fast, with mortality shown.
| Criterion | Points |
|---|---|
| Confusion | +1 |
| BUN above 19 mg/dL (urea above 7 mmol/L) | +1 |
| Respiratory rate 30 or higher | +1 |
| SBP below 90 or DBP 60 or below | +1 |
| Age 65 or older | +1 |
30-day mortality from the derivation cohort.