CRB65

CRB65 score for mortality risk assessment in patients with community-acquired pneumonia

Results

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Recommendations from NICE clinical knowledge summary on chest infections in adults

For people with a CRB-65 score of 3 or more, arrange urgent admission to hospital.

For people with a CRB-65 score of 2, arrange same-day assessment in secondary care. Secondary care options include short-stay inpatient treatment or hospital-supervised outpatient treatment.

For people with a CRB-65 score of 1, consider arranging same-day assessment in secondary care.

For people with a CRB-65 score of 0, treatment at home is usually appropriate, depending on clinical judgement (for example the stability of any comorbid illness) and available social support.


Reference: Lim WS, van der Eerden MM, Laing R, et al. (2003) Defining community-acquired pneumonia severity on presentation to hospital: an international derivation and validation study. Thorax 58: 377–82