ABSTRACT
Adapted with permission of BMJ Publishing Group from BTS guidelines. Thorax 2001; 56 (suppl IV) and 2004 update. ‘CURB 65’ score 1 point each for: • Confusion; MTS2 58/10 or new disorientation in time, place or
person
• Urea 7 mmol/l
• Respiratory rate ]30/min • BP¡: systolic B90 mmHg or diastolic 560 mmHg • 65: age ]65 yrs
B2: Non-severe*; likely to be suitable for home treatment. 2: Severe** with increased risk of death; consider admission (or hospital supervised outpatient care) using clinical judgement. 2: Severe** with high risk of death; admit and consider HDU/ITU (esp if ]4). 1For assessment in the community use ‘CRB 65’, which doesn’t need blood test: 0 likely to be suitable for home treatment; 12 consider hospital referral; 34 urgent hospital admission. 2MTS (Abbreviated) Mental Test Score; see p. 269 for details.
