II. Indications

  1. Pneumonia in the Nursing Home Assessment for Disposition (Outpatient, Inpatient or ICU admission)

III. Background

  1. Modified from CURB-65
    1. Removes confusion and BUN criteria from CURB-65 and adds PaO2 criteria

IV. Criteria: Assign one point for each of positive criteria

  1. Partial arterial oxygen pressure to FIO2 ratio (PaO2/FIO2 ratio) <250
  2. Respiratory Rate 30 breaths/min or higher
  3. Systolic Blood Pressure <90 mmHg or Diastolic Blood Pressure <60 mmHg
  4. Age 65 years or older

V. Interpretation

  1. Score 0-1: Outpatient management (30 day mortality <8%)
  2. Score 2 or more: Inpatient management (30 day mortality 33%)

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