DOI: 10.36347/sjams.2017.v05i03.047

Pages: 955-959

Community acquired pneumonia is the most common cause of morbidity and mortality. Various scores have been proposed as a tool for augmenting clinical judgment for stratifying patients with community-acquired pneumonia (CAP) and predict the outcome in the same. The objectives were to study the relation of CURB-65 score and outcome in pneumonia in Indian patients. CURB-65 is the recommended severity score in the CAP guidelines of the British Thoracic Society (BTS). Because it is followed predominantly in western countries and not in India, study was undertaken to observe and interpret CURB 65 in Indian scenario. A total of 164 patients admitted with symptoms of pneumonia aged above 65years evaluated for CURB-65 score. 164 patients diagnosed to have CAP are included in the study, have been evaluated for CURB-65 score at the time of admission and were given the score from 0 to 5. Among 164 patients, 107 patients were having score 3 and above have been observed to have increased need for ICU admission and mortality. 47 patients with CURB-65 score 3, death observed in 19 patients; 43 with score 4, death observed in 27 patients; 17 with score 5, 13 deaths were observed. CURB 65 of score 3 and above is associated with highest ICU admissions and mortality.