EDITORIALS
CRB-65 for the assessment of pneumonia severity: who could ask for more?
1 Thoraxzentrum Ruhrgebiet, Kliniken für Pneumologie und Infektiologie, EVK Herne und Augusta-Kranken-Anstalt Bochum, Bochum, Germany
2 Medizinische Hochschule Hannover (MHH), Klinik für Pneumologie, Medizinische Hochschule Hannover, Hannover, Germany
Correspondence to:
Dr Santiago Ewig, Thoraxzentrum Ruhrgebiet, Kliniken für Pneumologie und Infektiologie, EVK Herne und Augusta-Kranken-Anstalt Bochum, Bergstrasse 26, 44791 Bochum, Germany; ewig@augusta-bochum.de
| The first 150 words of the full text of this article appear below. |
According to a widespread consensus reflected in all authoritative guidelines, assessment of severity is the key step in the management of patients with community acquired pneumonia (CAP). It is a major criterion in the decision where to treat a patient and it widely determines the amount of diagnostic workup as well as the selection of initial empiric antimicrobial treatment. Overall, it has major implications in terms of outcomes and costs. Two lines of investigation have resulted in two competing tools of severity assessment: the pneumonia severity index (PSI)1 and the CURB score and its modifications (CURB-65, CRB-65).2–5 In the meantime, it has become evident that the PSI and the CRB-65 score, as the most simple modification of the original CURB score, perform equivalent in terms of prediction of inhospital death. Both predict death in a class 3 pattern, with mortality rates of approximately 1–3% (PSI class I–III, CRB-65 class 1),
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Thorax 2008 63: 698-702.[Abstract] [Full Text] [PDF]
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