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  • Applicability of the CURB-65 pneumonia severity score for outpatient treatment of COVID-19 #MMPMID32474039
  • Nguyen Y; Corre F; Honsel V; Curac S; Zarrouk V; Fantin B; Galy A
  • J Infect 2020[Sep]; 81 (3): e96-e98 PMID32474039show ga
  • OBJECTIVES: The CURB-65 is a severity score to predict mortality secondary to community acquired pneumonia and is widely used to identify patients who can be managed as outpatients. However, whether CURB-65 can be applicable to COVID-19 patients for the decision of outpatient treatment is still unknown. METHODS: We conducted a retrospective single-centre study assessing the performance of the CURB-65 to predict the risk of poor outcome, defined as the need for mechanical ventilation and/or death, among patients hospitalized for COVID-19. The association between the CURB-65 and the outcome was assessed by a univariable Cox proportional hazard regression model. RESULTS: A total of 279 patients were hospitalized between March 15(th) and April 14(th), 2020. According to the CURB-65, 171 (61.3%) patients were considered at low risk (CURB-65 01), 66 (23.7%) at intermediate risk (CURB-65=2), and 42 (15.1%) had high risk of 30-day mortality (CURB-65 35). During the study period, 88 (31.5%) patients had a poor outcome. The CURB-65 was strongly associated with a poor outcome (Pfor linear trend <0.001). However, among patients with a CURB-65 of 01, thus considered at low risk, 36/171 (21.1%) had a poor outcome. CONCLUSIONS: Our study suggests that the applicability of CURB-65 to guide the decision of inpatient or outpatient care is scarce, as it does not safely identify patients who could be managed as outpatients.
  • |*Community-Acquired Infections[MESH]
  • |*Coronavirus[MESH]
  • |*Coronavirus Infections[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia[MESH]
  • |*Pneumonia, Viral[MESH]
  • |Ambulatory Care[MESH]
  • |Betacoronavirus[MESH]
  • |Humans[MESH]
  • |Outpatients[MESH]
  • |Retrospective Studies[MESH]
  • |Severity of Illness Index[MESH]
  • |United Kingdom[MESH]

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  • suck abstract from ncbi

    e96 3.81 2020