Medicipate! Increase your knowledge dose 
Medicipate!
Increase your knowledge dose
 
Write article
Please log in to edit this article.
Edit

Difference between revisions of "CRB-65-score"

(Created page with "'''''German''': CRB-65-Index'' de: CRB-65-Index <br> ''Synonym: CRB65-Score'' <br> ==Definition== The '''CRB-65-score''' is a clinical score tha...")
 
 
Line 4: Line 4:
  
 
==Definition==
 
==Definition==
The '''CRB-65-score''' is a clinical [[score]] that is used for rough estimate of the severity of [[community-acquired pneumonia|community-acquired pneumonias]]. The score corresponds to the statistical probability of patient dying because of the [[pneumonia]].  
+
The '''CRB-65-score''' is a clinical [[score]] that is used to roughly estimate the severity of [[community-acquired pneumonia|community-acquired pneumonias]]. The score corresponds to the statistical probability of patients dying because of [[pneumonia]].  
  
 
==Classification==
 
==Classification==
 
The following criteria are used to score the CRB-65:
 
The following criteria are used to score the CRB-65:
 
* [[confusion|(C)onfusion]]: recently
 
* [[confusion|(C)onfusion]]: recently
* [[respiratory rate|(R)ate of respiration: ≥ 30/min
+
* [[respiratory rate|(R)ate]] of respiration: ≥ 30/min
 
* [[blood pressure|(B)lood pressure]]: [[diastolic]] pressure ≤ 60 mmHg or [[systolic]] pressure < 90 mmHg
 
* [[blood pressure|(B)lood pressure]]: [[diastolic]] pressure ≤ 60 mmHg or [[systolic]] pressure < 90 mmHg
 
* (65): age ≥ 65 years
 
* (65): age ≥ 65 years
Line 18: Line 18:
  
 
==Interpretation==
 
==Interpretation==
Patients with a score of 0 can be treated as [[outpatient|outpatients]] and have a negligible probability of dying due to the pneumonia.
+
Patients with a score of 0 can be treated as [[outpatient|outpatients]] and have a negligible probability of dying due to pneumonia.
 
A score of 1 or 2 suggests that the patient should receive treatment in a hospital.
 
A score of 1 or 2 suggests that the patient should receive treatment in a hospital.
 
Patients with scores of 3-4 should receive [[intensive care]].
 
Patients with scores of 3-4 should receive [[intensive care]].
 
In the case that the physician decides on outpatient treatment an appointment for a "second look" 24-48 hours later should be made.
 
In the case that the physician decides on outpatient treatment an appointment for a "second look" 24-48 hours later should be made.
The [[mortality]] is increased to roughly 5% for patients with a score of 1-2 points. With 3-4 points it increases over 20%.%.<ref>[http://www.ncbi.nlm.nih.gov/pubmed/16789984 Bauer TT et al. CRB-65 predicts death from community-acquired pneumonia. J Intern Med. 2006 Jul;260(1):93-101]</ref>
+
The [[mortality]] is increased to roughly 5% for patients with a score of 1-2 points. With 3-4 points it increases over 20%.<ref>[http://www.ncbi.nlm.nih.gov/pubmed/16789984 Bauer TT et al. CRB-65 predicts death from community-acquired pneumonia. J Intern Med. 2006 Jul;260(1):93-101]</ref>
  
 
==Sources==
 
==Sources==

Latest revision as of 11:45, 20 December 2017

German: CRB-65-Index
Synonym: CRB65-Score

1 Definition

The CRB-65-score is a clinical score that is used to roughly estimate the severity of community-acquired pneumonias. The score corresponds to the statistical probability of patients dying because of pneumonia.

2 Classification

The following criteria are used to score the CRB-65:

One point is awarded for each criterion that is found to be positive, meaning that the highest possible score is 4.

There is a variant of the CRB-65-score called the CURB. The "U" in CURB refers to (U)rea – nitrogen. In this variant one point is given if the concentration is > 7 mmol/l. This measurement requires quick laboratory diagnostic.[1]

3 Interpretation

Patients with a score of 0 can be treated as outpatients and have a negligible probability of dying due to pneumonia. A score of 1 or 2 suggests that the patient should receive treatment in a hospital. Patients with scores of 3-4 should receive intensive care. In the case that the physician decides on outpatient treatment an appointment for a "second look" 24-48 hours later should be made. The mortality is increased to roughly 5% for patients with a score of 1-2 points. With 3-4 points it increases over 20%.[2]

4 Sources

  1. Risikostratifizierung durch den CRB-65-Index, Kompetenznetz Ambulant Erworbene Pneumonie - CAPNETZ - gefördert vom Bundesministerium für Bildung und Forschung. abgerufen 16.07.2014.
  2. Bauer TT et al. CRB-65 predicts death from community-acquired pneumonia. J Intern Med. 2006 Jul;260(1):93-101

5 Weblinks

This page was last edited on 20 December 2017, at 11:45.

To comment on this article, please login..

Click here for creating a new article in the DocCheck Flexikon.

Initial author:

Last authors:

0 rating(s) (0 ø)

9.257 Views

You have any questions?
Copyright ©2022 DocCheck Medical Services GmbH | Switch to mobile version
Language:
Follow DocCheck: