PNEUMONIA PROTOCOL

CURB-65 Station

Standardized Community-Acquired Pneumonia (CAP) HUD

CLINICALLY VALIDATED
Clinical Criteria (1 Point Each)
C
Confusion
New disorientation in person/place/time
U
BUN > 19 mg/dL
Urea > 7 mmol/L
R
Resp Rate ≥ 30
Clinical tachypnea observed
B
BP < 90/60 mmHg
SBP < 90 or DBP ≤ 60
65
Age ≥ 65
Senior patient category

Awaiting Clinical Selection

Clinical Application of CURB-65

The CURB-65 score is a validated clinical prediction rule developed to decide whether a patient with Community-Acquired Pneumonia (CAP) requires inpatient admission. By scoring one point for each specific physiological derangement, clinicians can objectively stratify patients into low, moderate, or high-risk groups.

Frequently Asked Questions

Can I use this for COVID-19 pneumonia?

CURB-65 was developed for bacterial Community-Acquired Pneumonia. While it provides a snapshot of respiratory distress, specialized scores like the A-DROP or COVID-specific models are often preferred for viral-specific triage.

What defines "Confusion"?

In the original study, confusion is defined as an Abbreviated Mental Test (AMT) score of 8 or less, or new disorientation in person, place, or time.

Clinical References
  • 1. Lim WS, et al. Thorax. 2003;58(5):377-82.
  • 2. British Thoracic Society CAP Management Standards.
Dr. Nikhil Mahajan, PT
Respiratory Specialist

CLINICAL RESOURCE

Verified BTS Scoring Model

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13.8–17.2 g/dL is normal hemoglobin for adult males.

— PubMed

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Alkaline phosphatase 44–147 IU/L is a normal value.

— NEJM