RxTrayClinical toolkit

Pneumonia · Severity factors

CURB-65

Count five prognostic factors described for adults with community-acquired pneumonia.

Evidence recordRestricted clinical scopeVersion 0.1 · Updated July 17, 2026

Patient factors

Select one answer per row

Private by design. Values are calculated on this device and are not saved or sent to analytics.

01New confusion
02Urea greater than 7 mmol/LApproximately BUN greater than 19 mg/dL.
03Respiratory rate at least 30/min
04Low blood pressureSystolic below 90 or diastolic 60 mm Hg or lower.
05Age 65 or older

Result

Complete all factors

5 remaining
points

The score and its interpretation band will appear here.

No automatic diagnosis or treatment recommendation. CURB-65 is not a disposition order and does not replace oxygenation, organ dysfunction, social factors, treatment limitations, or current severe-CAP criteria.

Evidence packet

What this tool is based on

This versioned record keeps the citations, equation or decision rule, units, test coverage, intended population, and exclusions attached to the tool.

How evidence review works →
Intended population

Adults with community-acquired pneumonia after clinical diagnosis and initial assessment.

Equation record

One point each for confusion, urea >7 mmol/L, respiratory rate ≥30/min, low blood pressure, and age ≥65.

Unit handling

Urea threshold is >7 mmol/L; an approximate BUN equivalent (>19 mg/dL) is displayed for recognition.

Test coverage

All five factors, incomplete state, maximum score, and three interpretation bands.

Do not skip

Limitations and exclusions

  • Not a disposition order.
  • Does not replace oxygenation, organ dysfunction, severe-CAP criteria, comorbidity, social support, or goals of care.
  • Use caution outside the community-acquired pneumonia population.
  • BUN conversion is an approximation; use the stated urea threshold when available.

About this tool

CURB-65 Pneumonia Severity Calculator

Use this CURB-65 calculator to total confusion, urea, respiratory rate, blood pressure, and age criteria for community-acquired pneumonia severity review.

The score supports risk assessment but does not replace clinical judgment, oxygenation, comorbidities, social factors, or current pneumonia guidance.

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