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Predicting Death in Elderly Patients With Community-Acquired Pneumonia: A Prospective Validation Study Reevaluating the CRB-65 Severity Assessment Tool
Jettie Bont, MD;
Eelko Hak, MSc, PhD;
Arno W. Hoes, MD, MSc, PhD;
John T. Macfarlane, MD, PhD;
Theo J. M. Verheij, MD, PhD
Arch Intern Med. 2008;168(13):1465-1468.
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Severity scores are helpful in predicting mortality in patients presenting with community-acquired pneumonia (CAP). They enable physicians to decide their management strategies and site of care according to the expected mortality risk. In Europe, most cases of lower respiratory tract infections (LRTIs) and CAP are managed in primary care settings by general practitioners (GPs). However, most severity scores have been derived and validated in a hospital setting.
The best accepted tools to discriminate patients with CAP into high or low risk are the CURB-65 score (confusion, serum urea nitrogen level >19.6 mg/dL [to convert to millimoles per liter, multiply by 0.357], respiratory rate  30/min, low blood pressure, and age 65 years) and the Pneumonia Severity Index (PSI).1-2 The CURB-65 score consists of 5 easily accessible data, . . . [Full Text of this Article] Methods
Study Population Statistical Analysis
Results
Patients’ Characteristics
Accuracy of the CRB-65 Score Management of CAP
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