The Study Of Utility Of CURB 65 Scoring System In Patients Of Community Acquired Pneumonia

Sangle Omkar; Vaidya Suresh; Badhe Yuvaraj; Bhoge Dilip

Volume : VII, Issue : IX, September - 2018

The Study Of Utility Of CURB 65 Scoring System In Patients Of Community Acquired Pneumonia

Sangle Omkar, Vaidya Suresh, Badhe Yuvaraj, Bhoge Dilip

Abstract :

Community acquired pneumonia (CAP)is common cause of significant morbidity and mortality. CAP remains a therapeutic challenge to physicians to decide whether the patient is to be hospitalized orto be treated as outpatient. To achieve favorable outcomesit becomes crucial to assess the severity of CAP. The CURB–65 is a six–point, severity of illness score includes five variables: confusion, urea, respiratory rate, blood pressure and age >65 years.This study was aimed to assess severity of CAPwith respect to CURB–65 and to study utility of CURB–65 for predicting outcome in CAP. We found CURB–65 to be a significant predictor of mortality in CAP as observed by ROC curve (AUC–0.812; p<0.05). Mean CURB–65 score was significantly higher in non–survivors as compared to survivors (3.78 vs 1.12; p<0.05). The sensitivity & specificity of CURB–65 score for prediction of mortality (at cut–off >2) was 100% and 88.4% respectively with an overall diagnostic accuracy of 90%. To conclude CURB–65 is objective, simple and an accurate scoring system for evaluation of CAP severity and has good predictive efficiency.