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CURB-65 Score Calculator

Severity assessment for community-acquired pneumonia (CAP). Guides outpatient vs ward vs ICU disposition per BTS and IDSA/ATS guidelines.

Confusion (new disorientation in person/place/time or AMTS ≤ 8)+1Urea > 7 mmol/L (BUN > 19 mg/dL)+1Respiratory rate ≥ 30/min+1Blood pressure (SBP < 90 mmHg or DBP ≤ 60 mmHg)+1Age ≥ 65 years+1

CURB-65 Score

0/5

30-day mortality: 0.7%

Disposition

Low risk — Outpatient treatment

Empiric Antibiotic

Oral antibiotics at home. Amoxicillin 1g TDS × 5–7d. Macrolide (azithromycin 500mg OD × 3d) if atypical suspected or penicillin allergy. Re-review at 48–72 hrs.

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Clinical Disclaimer: CURB-65 was derived in adults with confirmed CAP — not for hospital-acquired pneumonia, immunocompromised hosts, or non-pneumonia sepsis. Always integrate clinical judgement, social factors (lives alone, comorbidities), and oxygenation (SpO₂ < 92%) when making the admission call. Always verify against your local prescribing reference and apply clinical judgment.

Pneumonia decisions, structured at the point of care

DoctorScribe auto-computes CURB-65, PSI, and SMART-COP from vitals + labs already in the chart, recommends guideline antibiotics, and prints a discharge plan with red-flag instructions in multiple languages.

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