Off the CURB and Quickly Onto the SOFA

Ilg et al1 performed a retrospective analysis to assess the predictive performance of the confusion, uremia, respiratory rate, blood pressure, and aged 65 years or older (CURB-65) score on the need for critical care interventions in emergency department (ED) patients admitted with community-acquired pneumonia. The authors suggest clinicians should exercise caution when using CURB-65 to guide disposition. We agree but offer alternative explanations for the findings and suggest a better-validated tool for risk stratification and triage in this population.

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