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Table 62.4

CURB-65 Score

Score 1 point each for:

  • New Confusion (abbreviated mental test score 8 or less, or new disorientation)
  • Blood Urea >7.0 mmol/L
  • Respiratory rate >30 breaths/min
  • Low Blood pressure (systolic BP <90 mmHg or diastolic BP <60 mmHg)
  • Age ≥65 years).

Score 0–1: low severity (mortality <3%): manage as outpatient.

Score 2: moderate severity (mortality 9%): admit to general or respiratory ward.

Score 3 or more: high severity (mortality of 15–40%): admit to HDU or ICU.