امرأة عمرها ٧٢ سنة جاءت بكحة وحرارة، والأشعة تظهر التهاباً رئوياً. صارت مشوشة حديثاً، واليوريا مرتفعة، والتنفس ٣٢، والضغط ٨٦/٥٠، والتشبع ٩٠٪. ما دلالة هذه النتائج حسب مقياس CURB-٦٥؟

A 72-year-old woman presents with cough and fever, and X-ray shows pneumonia. She is newly confused, urea is raised, RR 32, BP 86/50 and SpO2 90%. What do these findings indicate according to CURB-65?

1. Not enough information to score
2. Mild pneumonia treatable at home
3. Severe pneumonia needing admission and likely ICU review
4. Moderate pneumonia needing oral antibiotics and review in a week

Answer: C) Severe pneumonia needing admission and likely ICU review. CURB-65: confusion, raised urea, RR ≥30, SBP <90 or DBP ≤60, age ≥65. This scores 5/5, severe pneumonia with high mortality.