Ernst van community-acquired pneumonie (CAP) op basis van AMBU-65/CURB-65 score
Instrument voor risico stratificatie van patiënten met een community-acquired pneumonie (CAP) gericht op 30-dagen mortaliteit. 
Research authors: Lim W, van der Eerden MM, Laing R, Boersma W, Karalus N, Town G, Lewis S, and Macfarlane J.
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Berekende AMBU-65/CURB-65 score: punten

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How this model should be used:
The CURB-65/AMBU-65 model is a one step strategy for stratifying patients with CAP into risk groups according to risk of mortality at 30 days.1

  • Patients with CURB-65 scores 0 and 1 are at low risk of mortality (<2%) and might be suitable for management as hospital outpatients or by their general practitioner.
  • Patients with a score of 2 are at intermediate risk of mortality (9%) and should be considered for hospital supervised treatment.
  • Patients with  a score >2 are at high risk of mortality (>19%) and should be treated in hospital. Initial care in an intensive care or high dependency unit may be appropriate in those with the highest scores.
Note:
Although low serum albumin was identified as a strong independent prognostic variable in addition to the CURB score for predicting 30 day mortality, it was not included in the final model as it is not a routinely available test in many hospitals. If serum albumin level is at your disposal, you might consider using a more extended model including serum albumin.

Source:
  1. Lim WS, van der Eerden MM, Laing R, et al. Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study. Thorax. 2003;58(5):377-82.

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Calculations alone should never dictate patient care, and are no substitute for professional judgement. See our full disclaimer.

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