The CRB-65 is a shortened version of the CURB-65 score for community-acquired pneumonia. It is suitable in a community setting where laboratory testing is not readily available.
CRB-65 does not include urea > 7 mmol/L used in the CURB-65.
Patient selection: adult with community-acquired pneumonia (CAP)
Parameters:
(1) confusion
(2) respiratory rate
(3) blood pressure
(4) age
Parameters |
Findings |
Points |
---|---|---|
confusion |
absent |
0 |
|
present |
1 |
respiratory rate |
< 30 per minute |
0 |
|
>= 30 per minute |
1 |
blood pressure |
normal or elevated |
0 |
|
hypotension |
1 |
age |
< 65 years of age |
0 |
|
>= 65 years of age |
1 |
score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 4
• The higher the score the more severe the pneumonia.
CRB-65 |
30-Day Mortality |
0 |
0 |
1 |
4% |
2 |
19% |
3 |
44% |
4 |
55% |
after Table 2 page 153
Purpose: To evaluate an adult with a community-acquired pneumonia (CAP) using the CRB-65 score (derived from the CURB-65).
Specialty: Infectious Diseases, Pulmonology
Objective: severity, prognosis, stage
ICD-10: J15, J18,