Skip to main content

Main menu

  • Home
  • Content
    • Latest
    • Archive
    • home
  • Info for
    • Authors
    • Reviewers
    • Subscribers
    • Institutions
    • Advertisers
    • Join SMJ
  • About Us
    • About Us
    • Editorial Office
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Other Publications
    • NeuroSciences Journal

User menu

  • My alerts
  • Log in

Search

  • Advanced search
Saudi Medical Journal
  • Other Publications
    • NeuroSciences Journal
  • My alerts
  • Log in
Saudi Medical Journal

Advanced Search

  • Home
  • Content
    • Latest
    • Archive
    • home
  • Info for
    • Authors
    • Reviewers
    • Subscribers
    • Institutions
    • Advertisers
    • Join SMJ
  • About Us
    • About Us
    • Editorial Office
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Follow psmmc on Twitter
  • Visit psmmc on Facebook
  • RSS
Research ArticleOriginal Article
Open Access

Confusion, respiratory rate, shock index (CRSI-65) score in the emergency department triage may be a new severity scoring method for community-acquired pneumonia

Beliz O. Tekten, Tugba A. Temrel and Serkan Sahin
Saudi Medical Journal May 2020, 41 (5) 473-478; DOI: https://doi.org/10.15537/smj.2020.5.25069
Beliz O. Tekten
From the Department of Emergency Medicine (Tekten), Bolu Abant Izzet Baysal University Faculty of Medicine, Bolu; from the Department of Emergency Medicine (Temrel), Faculty of Medicine, University of Health Sciences, and from the Department of Emergency Medicine (Sahin), Gulhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Tugba A. Temrel
From the Department of Emergency Medicine (Tekten), Bolu Abant Izzet Baysal University Faculty of Medicine, Bolu; from the Department of Emergency Medicine (Temrel), Faculty of Medicine, University of Health Sciences, and from the Department of Emergency Medicine (Sahin), Gulhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Serkan Sahin
From the Department of Emergency Medicine (Tekten), Bolu Abant Izzet Baysal University Faculty of Medicine, Bolu; from the Department of Emergency Medicine (Temrel), Faculty of Medicine, University of Health Sciences, and from the Department of Emergency Medicine (Sahin), Gulhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • References
  • PDF
Loading

References

  1. ↵
    1. Nullmann H,
    2. Pflug MA,
    3. Wesemann T,
    4. Heppner HJ,
    5. Pientka L,
    6. Thiem U
    (2014) External validation of the CURSI criteria (confusion, urea, respiratory rate and shock index) in adults hospitalised for community-acquired pneumonia. BMC Infect Dis 14:39.
    OpenUrl
  2. ↵
    1. Kosar F,
    2. Alici DE,
    3. Hacibedel B,
    4. Arpinar Yigitbas B,
    5. Golabi P,
    6. Cuhadaroglu C
    (2017) Burden of in adults over 18 y of age. Hum Vaccin Immunother 13:1673–1680.
    OpenUrl
  3. ↵
    1. Frenzen FS,
    2. Kutschan U,
    3. Meiswinkel N,
    4. Schulte-Hubbert B,
    5. Ewig S,
    6. Kolditz M
    (2018) Admission lactate predicts poor prognosis independently of the CRB/CURB-65 scores in community-acquired pneumonia. Clin Microbiol Infect 24:e306–e3111.
    OpenUrl
  4. ↵
    1. Woodhead M,
    2. Blasi F,
    3. Ewig S,
    4. Garau J,
    5. Huchon G,
    6. Ieven M,
    7. et al.
    (2005) Guidelines for the management of adult lower respiratory tract infections. Clin Microbiol Infect 26:1138–1180.
    OpenUrl
    1. Mandell LA,
    2. Wunderink RG,
    3. Anzueto A,
    4. Bartlett JG,
    5. Campbell GD,
    6. Dean NC,
    7. et al.
    (2007) Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis 44(Suppl 2):27–72.
    OpenUrlCrossRef
  5. ↵
    1. Sharp AL,
    2. Jones JP,
    3. Wu I,
    4. Huynh D,
    5. Kocher KE,
    6. Shah NR,
    7. et al.
    (2016) CURB-65 performance among admitted and discharged emergency department patients with community-acquired pneumonia. Acad Emerg Med 23:400–405.
    OpenUrl
  6. ↵
    1. Curtain JP,
    2. Sankaran P,
    3. Kamath AV,
    4. Myint PK
    (2013) The usefulness of confusion, urea, respiratory rate, and shock index or adjusted shock index criteria in predicting combined mortality and/or ICU admission compared to CURB-65 in community-acquired pneumonia. Biomed Res Int 2013:1–6.
    OpenUrl
  7. ↵
    1. King RW,
    2. Plewa MC,
    3. Buderer NMF,
    4. Knotts FB
    (1996) Shock index as a marker for significant injury in trauma patients. Acad Emerg Med 3:1041–1045.
    OpenUrlCrossRefPubMedWeb of Science
  8. ↵
    1. Bauer TT,
    2. Ewig S,
    3. Marre R,
    4. Suttorp N,
    5. Welte T
    (2006) CAPNETZ Study Group. CRB-65 predicts death from community-acquired pneumonia. J Intern Med 260:93–101.
    OpenUrlCrossRefPubMedWeb of Science
  9. ↵
    1. Sankaran P,
    2. Kamath AV,
    3. Tariq SM,
    4. Ruffell H,
    5. Smith AC,
    6. Prentice P,
    7. et al.
    (2011) Are shock index and adjusted shock index useful in predicting mortality and length of stay in community-acquired pneumonia? Eur J Intern Med 22:282–285.
    OpenUrlCrossRefPubMed
  10. ↵
    1. Ewig S,
    2. de Roux A,
    3. Bauer T,
    4. García E,
    5. Mensa J,
    6. Niederman M
    (2004) Validation of predictive rules and indices of severity for community acquired pneumonia. Thorax 59:421–427.
    OpenUrlAbstract/FREE Full Text
  11. ↵
    1. Lim WS,
    2. van der Eerden MM,
    3. Laing R,
    4. Boersma WG,
    5. Karalus N,
    6. Town GI,
    7. et al.
    (2003) Defining community acquired pneumonia severity on presentation to hospital:an international derivation and validation study. Thorax 58:377–382.
    OpenUrlAbstract/FREE Full Text
  12. ↵
    1. Myint PK,
    2. Musonda P,
    3. Sankaran P,
    4. Subramanian DN,
    5. Ruffell H,
    6. Smith AC,
    7. et al.
    (2010) Confusion, Urea, Respiratory Rate and Shock Index or Adjusted Shock Index (CURSI or CURASI) criteria predict mortality in community-acquired pneumonia. Eur J Intern Med 21:429–433.
    OpenUrlPubMed
  13. ↵
    1. Schmidt T,
    2. Lassen A,
    3. Wiil UK
    (2016) Occurrence of elevated shock index in acute patients and development of a proportional shock index metric. Conf Proc IEEE Eng Med Biol Soc 2016:2411–2414.
    OpenUrl
  14. ↵
    1. Ewig S,
    2. Welte T
    (2008) CRB-65 for the assessment of pneumonia severity:who could ask for more? Thorax 63:665–666.
    OpenUrlFREE Full Text
  15. ↵
    1. Ochoa-Gondar O,
    2. Vila-Corcoles A,
    3. Rodriguez-Blanco T,
    4. Ramos F,
    5. de Diego C,
    6. Salsench E,
    7. et al.
    (2011) Comparison of three predictive rules for assessing severity in elderly patients with CAP. Int J Clin Pract 65:1165–1172.
    OpenUrlCrossRefPubMed
  16. ↵
    1. Ugajin M,
    2. Yamaki K,
    3. Iwamura N,
    4. Yagi T,
    5. Asano T
    (2012) Blood urea nitrogen to serum albumin ratio independently predicts mortality and severity of community-acquired pneumonia. Int J Gen Med 5:583–589.
    OpenUrlPubMed
  17. ↵
    1. Long B,
    2. Long D,
    3. Koyfman A
    (2017) Emergency medicine evaluation of community-acquired pneumonia:History, examination, imaging and laboratory assessment, and risk scores. J Emerg Med 53:642–652.
    OpenUrl
  18. ↵
    1. Zhang ZX,
    2. Yong Y,
    3. Tan WC,
    4. Shen L,
    5. Ng HS,
    6. Fong KY
    (2018) Prognostic factors for mortality due to pneumonia among adults from different age groups in Singapore and mortality predictions based on PSI and CURB-65. Singapore Med J 59:190–198.
    OpenUrl
  19. ↵
    1. Parsonage M,
    2. Nathwani D,
    3. Davey P,
    4. Barlow G
    (2009) Evaluation of the performance of CURB-65 with increasing age. Clin Microbiol Infect 15:858–864.
    OpenUrlCrossRefPubMed
  20. ↵
    1. Snijders D,
    2. van der Eerden M,
    3. de Graaff C,
    4. Boersma W
    (2010) The influence of COPD on mortality and severity scoring in community-acquired pneumonia. Respiration 79:46–53.
    OpenUrlCrossRefPubMedWeb of Science
PreviousNext
Back to top

In this issue

Saudi Medical Journal: 41 (5)
Saudi Medical Journal
Vol. 41, Issue 5
1 May 2020
  • Table of Contents
  • Cover (PDF)
  • Index by author
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on Saudi Medical Journal.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Confusion, respiratory rate, shock index (CRSI-65) score in the emergency department triage may be a new severity scoring method for community-acquired pneumonia
(Your Name) has sent you a message from Saudi Medical Journal
(Your Name) thought you would like to see the Saudi Medical Journal web site.
Citation Tools
Confusion, respiratory rate, shock index (CRSI-65) score in the emergency department triage may be a new severity scoring method for community-acquired pneumonia
Beliz O. Tekten, Tugba A. Temrel, Serkan Sahin
Saudi Medical Journal May 2020, 41 (5) 473-478; DOI: 10.15537/smj.2020.5.25069

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Confusion, respiratory rate, shock index (CRSI-65) score in the emergency department triage may be a new severity scoring method for community-acquired pneumonia
Beliz O. Tekten, Tugba A. Temrel, Serkan Sahin
Saudi Medical Journal May 2020, 41 (5) 473-478; DOI: 10.15537/smj.2020.5.25069
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Bookmark this article

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Acknowledgment
    • Footnotes
    • References
  • Figures & Data
  • eLetters
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Identifying individuals at risk of post-stroke depression
  • Hematological parameters in recent and past dengue infections in Jazan Province, Saudi Arabia
  • Longitudinal analysis of foodborne disease outbreaks in Saudi Arabia
Show more Original Article

Similar Articles

Keywords

  • CURB-65
  • pneumonia
  • emergency service

CONTENT

  • home

JOURNAL

  • home

AUTHORS

  • home
Saudi Medical Journal

© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

Powered by HighWire