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Thorax 2007;62:287-288; doi:10.1136/thx.2006.073700
Copyright © 2007 BMJ Publishing Group Ltd & British Thoracic Society.

EDITORIAL

Severity assessment in CAP

Severity assessment in community-acquired pneumonia: moving on

Wei Shen Lim

Correspondence to:
Correspondence to:
Dr Wei Shen Lim
Nottingham University Hospitals, City Hospital Campus, Hucknall Road, Nottingham NG5 1PB, UK; weishen.lim@nuh.nhs.uk


The CURB65 score displays moderate to good discriminatory value in validation studies involving over 11000 patients

The first 150 words of the full text of this article appear below.

Severity assessment is recognised as a pivotal step in the management of community-acquired pneumonia (CAP). Consequently, much effort over the last three decades has gone into developing tools to aid this process. The Pneumonia Severity Index (PSI) was introduced in 1997 following a study in over 50 000 patients and is well established as a robust severity assessment tool in patients with CAP.1 The CURB65 and CRB65 scores—which take account of the presence of Confusion, raised Urea (in the case of CURB65), raised Respiratory rate, low Blood pressure and age >65 years—were introduced more recently in 2003.2 One of the main benefits of the CURB65 and CRB65 scores is their simplicity in comparison with the PSI which comprises 20 variables. A number of studies over the last 2 years have therefore sought to confirm the value of these scores in different healthcare settings.

In this issue . . . [Full text of this article]


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This article has been cited by other articles:

  • Singanayagam, A., Chalmers, J.D., Hill, A.T. (2009). Severity assessment in community-acquired pneumonia: a review. QJM 102: 379-388 [Abstract] [Full Text]  

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