{"id":3897,"date":"2026-10-12T06:59:11","date_gmt":"2026-10-12T05:59:11","guid":{"rendered":"https:\/\/wpcalc.com\/tr\/tisbi\/curb-65-skor-hesaplama\/"},"modified":"2026-10-12T06:59:11","modified_gmt":"2026-10-12T05:59:11","slug":"curb-65-skor-hesaplama","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/tr\/tisbi\/curb-65-skor-hesaplama\/","title":{"rendered":"CURB-65 Skor Hesaplama Arac\u0131"},"content":{"rendered":"<section class=\"not-prose calculator-box\" aria-labelledby=\"calculator-title\"><div class=\"flex items-baseline sm:items-center justify-between gap-2 sm:gap-3\"><div class=\"flex flex-col sm:flex-row sm:items-center gap-2\"><span class=\"icon icon-calculator text-primary-700! text-base! dark:text-primary-300!\" aria-hidden=\"true\"><\/span><h2 id=\"calculator-title\" class=\"text-lg font-display font-bold\">Toplum k\u00f6kenli pn\u00f6moninin \u015fiddetini de\u011ferlendirin<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"3897\" data-favorite-title=\"CURB-65 Skoru\" data-favorite-url=\"https:\/\/wpcalc.com\/tr\/tisbi\/curb-65-skor-hesaplama\/\" data-favorite-excerpt=\"Yeni ba\u015flayan konf\u00fczyon, kan \u00fcresi, solunum h\u0131z\u0131, tansiyon ve ya\u015f bilgilerini girin; toplumdan edinilmi\u015f pn\u00f6moni i\u00e7in CURB-65 skorunu, \u015fiddet kategorisini ve \u00f6nerilen bak\u0131m ortam\u0131n\u0131 g\u00f6r\u00fcn.\" aria-label=\"Favorilere ekle\" data-favorite-icon=\"icon icon-flask\">\n    <span class=\"icon icon-shape-star-empty\" aria-hidden=\"true\"><\/span>\n  <\/button>\n  <div class=\"calcdash-favorite__tip\" aria-hidden=\"true\">\n   <span class=\"favorite-tooltip\" id=\"favorite-tooltip\"><\/span>\n  <\/div>\n  <span class=\"sr-only\" role=\"status\" id=\"favorite-status\"><\/span>\n<\/div><\/div><form action=\"https:\/\/wpcalc.com\/tr\/tisbi\/curb-65-skor-hesaplama\/\" method=\"POST\" class=\"calculator\" id=\"calculator-3897\" data-post=\"3897\"><fieldset class=\"fieldset-input is-2\"><legend class=\"sr-only\">Giri\u015f alanlar\u0131<\/legend><div class=\"field is-checkbox is-single\" id=\"input-1\"><input type=\"checkbox\" id=\"field-1\" value=\"1\"\/><label for=\"field-1\">Konf\u00fczyon (yeni ba\u015flayan oryantasyon bozuklu\u011fu)<\/label><\/div><div class=\"field has-term\" id=\"input-2\"><label for=\"field-2\">Kan \u00fcre<\/label><div class=\"term\">U<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><div class=\"field-group\"><input type=\"text\" name=\"kan_re\" id=\"field-2\" aria-describedby=\"calc-info-2\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"0.1\" max=\"200\" value=\"8\"\/><div class=\"grid grid-cols-1\"><select id=\"field-3\" name=\"birim\" aria-label=\"Birim\"><option value=\"mmol\" selected>mmol\/L<\/option><option value=\"mgdl\">mg\/dL<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><small id=\"calc-info-2\">7 mmol\/L (19,6 mg\/dL) \u00fczeri de\u011ferlerde puan verilir<\/small><\/div><div class=\"field has-term\" id=\"input-3\"><label for=\"field-4\">Solunum h\u0131z\u0131<\/label><div class=\"term\">R<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"solunum_hz\" id=\"field-4\" aria-describedby=\"calc-unit-4 calc-info-4\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"1\" max=\"80\" value=\"24\"\/><div class=\"unit\" id=\"calc-unit-4\">solunum\/dk<\/div><small id=\"calc-info-4\">30 solunum\/dk veya \u00fczerinde puan verilir<\/small><\/div><div class=\"field has-term\" id=\"input-4\"><label for=\"field-5\">Sistolik kan bas\u0131nc\u0131<\/label><div class=\"term\">KB<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"sistolik_kan_basnc\" id=\"field-5\" aria-describedby=\"calc-unit-5 calc-info-5\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"40\" max=\"260\" value=\"110\"\/><div class=\"unit\" id=\"calc-unit-5\">mmHg<\/div><small id=\"calc-info-5\">90 mmHg&#039;nin alt\u0131nda puan verilir<\/small><\/div><div class=\"field has-term\" id=\"input-5\"><label for=\"field-6\">Diyastolik kan bas\u0131nc\u0131<\/label><div class=\"term\">KB<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"diyastolik_kan_basnc\" id=\"field-6\" aria-describedby=\"calc-unit-6 calc-info-6\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"20\" max=\"160\" value=\"65\"\/><div class=\"unit\" id=\"calc-unit-6\">mmHg<\/div><small id=\"calc-info-6\">60 mmHg veya alt\u0131nda puan verilir<\/small><\/div><div class=\"field has-term\" id=\"input-6\"><label for=\"field-7\">Ya\u015f<\/label><div class=\"term\">65<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"ya\" id=\"field-7\" aria-describedby=\"calc-unit-7 calc-info-7\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"1\" max=\"120\" value=\"70\"\/><div class=\"unit\" id=\"calc-unit-7\">y\u0131l<\/div><small id=\"calc-info-7\">65 ya\u015f veya \u00fczerinde puan verilir<\/small><\/div><\/fieldset><div class=\"buttons\"><button type=\"submit\" data-text=\"Yeniden hesapla\" id=\"calculate-button\" data-post=\"3897\">Hesapla<\/button><button type=\"reset\">S\u0131f\u0131rla<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Otomatik hesapla<\/label><small>Etkinle\u015ftirilirse, herhangi bir de\u011feri de\u011fi\u015ftirdi\u011finizde sonu\u00e7 otomatik olarak g\u00fcncellenir.<\/small><\/div><div class=\"fieldset-result is-hidden\" aria-labelledby=\"result-title\" aria-live=\"polite\" role=\"region\"> <h3 class=\"result-title bg-gradient-to-r from-primary-50 to-gray-50 dark:from-primary-900 dark:to-gray-800\" id=\"result-title\"><span class=\"icon icon-s-pulse\" aria-hidden=\"true\"><\/span> CURB-65 Sonucunuz<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>CURB-65 skoru<\/span><span class=\"result-term\">CURB-65<\/span><\/span><span class=\"field-value\" id=\"result-1\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result is-column\" id=\"output-2\"><span class=\"field-title\"><span>\u015eiddet kategorisi ve \u00f6nerilen bak\u0131m yeri<\/span><\/span><span class=\"field-value\" id=\"result-2\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result is-column\" id=\"output-3\"><span class=\"field-title\"><span>Bu ne anlama geliyor<\/span><\/span><span class=\"field-value\" id=\"result-3\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><\/div><div class=\"result-actions\"><button type=\"button\" class=\"copy-link\"><svg viewBox=\"0 0 20 20\" fill=\"currentColor\" aria-hidden=\"true\"><path d=\"M12.232 4.232a2.5 2.5 0 0 1 3.536 3.536l-1.225 1.224a.75.75 0 0 0 1.061 1.06l1.224-1.224a4 4 0 0 0-5.656-5.656l-3 3a4 4 0 0 0 .225 5.865.75.75 0 0 0 .977-1.138 2.5 2.5 0 0 1-.142-3.667l3-3Z\"\/><path d=\"M11.603 7.963a.75.75 0 0 0-.977 1.138 2.5 2.5 0 0 1 .142 3.667l-3 3a2.5 2.5 0 0 1-3.536-3.536l1.225-1.224a.75.75 0 0 0-1.061-1.06l-1.224 1.224a4 4 0 1 0 5.656 5.656l3-3a4 4 0 0 0-.225-5.865Z\"\/><\/svg><span class=\"copy-link__text\">Bu hesaplaman\u0131n ba\u011flant\u0131s\u0131n\u0131 kopyala<\/span><\/button><span class=\"sr-only\" role=\"status\" id=\"copy-link-status\"><\/span><\/div><\/div><a href=\"#respond\" class=\"hidden transition-opacity duration-300 opacity-0 w-50 text-sm justify-center items-center gap-2 px-4 py-2 rounded bg-gray-200 text-gray-700 hover:bg-gray-300\" id=\"leave-comment\"><span class=\"icon icon-comments\" aria-hidden=\"true\"><\/span>Yorum b\u0131rak<\/a><\/form><\/section><section id=\"calc-reactions\" class=\"not-prose hidden my-12 bg-gradient-to-r from-primary-50 to-gray-50 border border-indigo-100 rounded-xl px-6 py-4 shadow-sm\" data-post=\"3897\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">Bu sonu\u00e7 hakk\u0131nda ne d\u00fc\u015f\u00fcn\u00fcyorsunuz?<\/p><div role=\"group\" aria-labelledby=\"calc-reactions-title\" class=\"grid grid-cols-3 sm:flex sm:flex-row sm:justify-around gap-4 sm:items-center sm:flex-wrap\"><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"like\"><span class=\"reaction-count\" data-reaction-count=\"like\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude00 <\/span><span class=\"reaction-description font-medium\">Be\u011fendim <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"helpful\"><span class=\"reaction-count\" data-reaction-count=\"helpful\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\udca1 <\/span><span class=\"reaction-description font-medium\">Faydal\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"confused\"><span class=\"reaction-count\" data-reaction-count=\"confused\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude15 <\/span><span class=\"reaction-description font-medium\">Kafam kar\u0131\u015ft\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"disappointed\"><span class=\"reaction-count\" data-reaction-count=\"disappointed\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude1e <\/span><span class=\"reaction-description font-medium\">Hayal k\u0131r\u0131kl\u0131\u011f\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"inaccurate\"><span class=\"reaction-count\" data-reaction-count=\"inaccurate\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\u274c <\/span><span class=\"reaction-description font-medium\">Hatal\u0131 <\/span><\/button><\/div><div id=\"reaction-message\" class=\"hidden mt-8 rounded-md border border-primary-100 bg-white\/50 backdrop-blur-sm px-4 py-2 text-sm text-center shadow-sm\"><\/div><\/section><div class=\"calcdash-ad not-prose calcdash-ad--calc_result calcdash-ad--in-article\"><ins class=\"adsbygoogle\" style=\"display:block\" data-ad-client=\"ca-pub-1721569815777345\" data-ad-slot=\"6317458308\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div>\n<style id=\"wpcoderpro-inline-1\">.formula-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section class=\"formula-box\" aria-labelledby=\"formula-title\">\r\n\t<div id=\"formula-title\" class=\"not-prose font-display mb-4\"><span class=\"icon icon-formula\" aria-hidden=\"true\"><\/span><h2>CURB-65 Skor Form\u00fcl\u00fc<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">Form\u00fcl<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\n\\[\n\\text{CURB-65} = C + U + R + B + A_{65} \\\\\n\\quad C = 1 \\text{ yeni ba\u015flayan konf\u00fczyon varsa}, \\; U = 1 \\text{ \u00fcre} &gt; 7 \\text{ mmol\/L ise}, \\\\\n\\quad R = 1 \\text{ RR} \\geq 30 \\text{\/dk ise}, \\; B = 1 \\text{ SBP} &lt; 90 \\text{ veya DBP} \\leq 60 \\text{ mmHg ise}, \\\\\n\\quad A_{65} = 1 \\text{ ya\u015f} \\geq 65 \\text{ ise}; \\; \\text{aksi halde her terim } 0\n\\]\n<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>K\u0131saltmalar:<\/strong><\/p>\n<ul>\n<li>\\(C\\) \u2014 yeni ba\u015flayan konf\u00fczyon (varsa 1 puan)<\/li>\n<li>\\(U\\) \u2014 kan \u00fcresinin 7 mmol\/L \u00fczerinde olmas\u0131; \u00fcre cinsinden 19,6 mg\/dL de\u011ferine kar\u015f\u0131l\u0131k gelir (1 puan)<\/li>\n<li>\\(R\\) \u2014 dakikada 30 veya daha fazla solunum (1 puan)<\/li>\n<li>\\(B\\) \u2014 d\u00fc\u015f\u00fck tansiyon: sistolik bas\u0131nc\u0131n 90 mmHg alt\u0131nda ya da diyastolik bas\u0131nc\u0131n 60 mmHg veya daha d\u00fc\u015f\u00fck olmas\u0131 (1 puan)<\/li>\n<li>\\(A_{65}\\) \u2014 65 ya\u015f veya \u00fczeri (1 puan)<\/li>\n<\/ul>\n<p>Skor, bu be\u015f \u00f6l\u00e7\u00fct\u00fcn basit toplam\u0131d\u0131r; bu y\u00fczden 0 ile 5 aras\u0131nda de\u011fi\u015fir. Puan y\u00fckseldik\u00e7e pn\u00f6moninin daha a\u011f\u0131r seyretti\u011fi ve \u00f6l\u00fcm riskinin artt\u0131\u011f\u0131 anla\u015f\u0131l\u0131r.<\/p>\n<p>\r\n<\/section>\n<style id=\"wpcoderpro-inline-2\">.calculation-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section id=\"calculation\" class=\"calculation-box\" aria-labelledby=\"calculation-title\">\r\n\t<div id=\"calculation-title\" class=\"not-prose font-display\"><span class=\"icon icon-unordered-list\" aria-hidden=\"true\"><\/span><h2>CURB-65 Skoru \u2013 Hesaplama \u00d6rne\u011fi<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>\u00d6rnek:<\/strong> 70 ya\u015f\u0131nda, pn\u00f6monili bir hastada yeni geli\u015fen konf\u00fczyon yok; kan \u00fcresi 8 mmol\/L, solunum h\u0131z\u0131 dakikada 24, tansiyonu 110\/65 mmHg.<\/p>\n<p>\\[<br \/>\nC = 0, \\; U = 1 \\; (8 &gt; 7), \\; R = 0 \\; (24 &lt; 30), \\; B = 0 \\; (110 \\geq 90, \\; 65 &gt; 60), \\; A_{65} = 1 \\; (70 \\geq 65)<br \/>\n\\]<\/p>\n<p>\\[<br \/>\n\\text{CURB-65} = 0 + 1 + 0 + 0 + 1 = 2<br \/>\n\\]<\/p>\n<p><strong>Sonu\u00e7:<\/strong> CURB-65 skoru 2 \u2014 orta \u015fiddette pn\u00f6moni; tahmini 30 g\u00fcnl\u00fck \u00f6l\u00fcm oran\u0131 yakla\u015f\u0131k %6,8. K\u0131sa s\u00fcreli hastane yat\u0131\u015f\u0131 ya da yak\u0131ndan izlenen ayaktan tedavi de\u011ferlendirilmelidir.<\/p>\n<p>\n\r\n<\/section>\n<h2>Hesaplama arac\u0131 nas\u0131l kullan\u0131l\u0131r<\/h2>\n<ol>\n<li><strong>Konf\u00fczyon (yeni geli\u015fen y\u00f6nelim bozuklu\u011fu)<\/strong> kutusunu yaln\u0131zca zihinsel bulan\u0131kl\u0131\u011f\u0131n aile ya da bak\u0131c\u0131lar taraf\u0131ndan yeni fark edildi\u011fi durumlarda i\u015faretleyin \u2014 uzun s\u00fcredir var olan konf\u00fczyon puan kazand\u0131rmaz.<\/li>\n<li><strong>Kan \u00fcresi<\/strong> de\u011ferini girin ve uygun birimi, <strong>mmol\/L<\/strong> ya da <strong>mg\/dL<\/strong> olarak se\u00e7in; 7 mmol\/L e\u015fi\u011fi 19,6 mg\/dL'ye kar\u015f\u0131l\u0131k gelir.<\/li>\n<li><strong>Solunum h\u0131z\u0131n\u0131<\/strong> hastan\u0131n dinlenme halindeyken \u00f6l\u00e7\u00fclen de\u011feriyle, dakikadaki solunum say\u0131s\u0131 olarak girin.<\/li>\n<li><strong>Sistolik tansiyon<\/strong> ve <strong>diyastolik tansiyon<\/strong> de\u011ferlerini mmHg cinsinden girin.<\/li>\n<li>Hastan\u0131n <strong>ya\u015f\u0131n\u0131<\/strong> y\u0131l olarak girin.<\/li>\n<li><strong>CURB-65 skorunu<\/strong>, \u00f6nerilen bak\u0131m ortam\u0131yla birlikte \u015fiddet kategorisini ve hangi \u00f6l\u00e7\u00fctlerin kar\u015f\u0131land\u0131\u011f\u0131na ili\u015fkin yorumu okuyun.<\/li>\n<\/ol>\n<h2>CURB-65 skoru nedir<\/h2>\n<p>CURB-65, toplumdan edinilmi\u015f pn\u00f6moni (TEP) \u2014 yani hastane d\u0131\u015f\u0131nda yakalanan pn\u00f6moni \u2014 \u015fiddetini de\u011ferlendirmek i\u00e7in kullan\u0131lan klinik bir tahmin kural\u0131d\u0131r. Lim ve \u00e7al\u0131\u015fma arkada\u015flar\u0131 taraf\u0131ndan geli\u015ftirilmi\u015f ve 2003'te <em>Thorax<\/em> dergisinde, daha eski BTS kural\u0131n\u0131n sadele\u015ftirilmi\u015f h\u00e2li olarak yay\u0131mlanm\u0131\u015ft\u0131r. Ad\u0131 be\u015f \u00f6l\u00e7\u00fct\u00fcn \u0130ngilizce ba\u015f harflerinden olu\u015fur: <strong>C<\/strong>onfusion (konf\u00fczyon), <strong>U<\/strong>rea (\u00fcre), <strong>R<\/strong>espiratory rate (solunum h\u0131z\u0131), <strong>B<\/strong>lood pressure (tansiyon) ve <strong>65<\/strong> ya\u015f \u00fczeri.<\/p>\n<p>Skorun temel amac\u0131, hastan\u0131n nerede tedavi edilece\u011fine dair karara yol g\u00f6stermektir. Her puan, kabaca 30 g\u00fcn i\u00e7inde \u00f6lme riskinde bir art\u0131\u015fa kar\u015f\u0131l\u0131k gelir. Orijinal kohortta \u00f6l\u00fcm oran\u0131 skor 0'da yakla\u015f\u0131k %0,6, skor 1'de %3, skor 2'de %6,8, skor 3\u20135'te ise %14\u201328 idi. Uygulamada 0\u20131 skorlar\u0131 genellikle a\u011f\u0131zdan antibiyotikle evde tedaviyi destekler; 2 puan, yat\u0131\u015f ya da yak\u0131ndan izlenen ayaktan tedavi se\u00e7ene\u011finin d\u00fc\u015f\u00fcn\u00fclmesini gerektirir; 3\u20135 puan ise hastaneye yat\u0131\u015f gerektirir ve 4\u20135 puanda yo\u011fun bak\u0131m de\u011ferlendirmesi s\u0131kl\u0131kla uygundur.<\/p>\n<p>Yaln\u0131zca k\u0131sa bir zihinsel durum muayenesi, bir kan tahlili ve \u00fc\u00e7 yatak ba\u015f\u0131 \u00f6l\u00e7\u00fcm\u00fc gerektirdi\u011finden CURB-65 acil servislerde, birinci basamakta ve teletriyajda h\u0131zla uygulanabilir. Toplumdan edinilmi\u015f pn\u00f6moni i\u00e7in PSI\/PORT skoruyla birlikte en yayg\u0131n kullan\u0131lan \u015fiddet de\u011ferlendirme ara\u00e7lar\u0131ndan biridir; PSI\/PORT daha ayr\u0131nt\u0131l\u0131d\u0131r ama hesaplamas\u0131 daha uzun s\u00fcrer. Konf\u00fczyon varsa <a href=\"https:\/\/wpcalc.com\/en\/medical\/glasgow-coma-scale-calculator\/\">Glasgow Koma Skalas\u0131<\/a> ile resm\u00ee puanlama, bilin\u00e7 d\u00fczeyinin belgelenmesine yard\u0131mc\u0131 olabilir.<\/p>\n<h2>Referans tablosu<\/h2>\n<table>\n<thead>\n<tr>\n<th>Skor<\/th>\n<th>\u015eiddet<\/th>\n<th>Tipik 30 g\u00fcnl\u00fck \u00f6l\u00fcm oran\u0131<\/th>\n<th>\u00d6nerilen bak\u0131m ortam\u0131<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>0\u20131<\/td>\n<td>D\u00fc\u015f\u00fck<\/td>\n<td>%0,6\u20133<\/td>\n<td>A\u011f\u0131zdan antibiyotikle ayaktan tedavi<\/td>\n<\/tr>\n<tr>\n<td>2<\/td>\n<td>Orta<\/td>\n<td>yakla\u015f\u0131k %6,8<\/td>\n<td>K\u0131sa s\u00fcreli hastane yat\u0131\u015f\u0131 veya izlemli ayaktan tedavi<\/td>\n<\/tr>\n<tr>\n<td>3<\/td>\n<td>Y\u00fcksek<\/td>\n<td>yakla\u015f\u0131k %14<\/td>\n<td>Hastaneye yat\u0131\u015f<\/td>\n<\/tr>\n<tr>\n<td>4\u20135<\/td>\n<td>Y\u00fcksek<\/td>\n<td>yakla\u015f\u0131k %28'e kadar<\/td>\n<td>Hastaneye yat\u0131\u015f, \u00e7o\u011fu zaman yo\u011fun bak\u0131m de\u011ferlendirmesiyle<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Varsay\u0131mlar, s\u0131n\u0131rl\u0131l\u0131klar ve pratik ipu\u00e7lar\u0131<\/h2>\n<ul>\n<li><strong>Bir karar destek arac\u0131d\u0131r, tan\u0131 arac\u0131 de\u011fil.<\/strong> CURB-65 \u00f6l\u00fcm riskini tahmin eder ama klinik karar verme yerine ge\u00e7mez. Hipoksemi (d\u00fc\u015f\u00fck oksijen sat\u00fcrasyonu), ciddi e\u015flik eden hastal\u0131klar, imm\u00fcn bask\u0131lanma, gebelik, kusma ya da a\u011f\u0131zdan antibiyotik alamama ve evde yetersiz destek gibi durumlar, d\u00fc\u015f\u00fck skor durumunda bile yat\u0131\u015f\u0131 gerekli k\u0131labilir.<\/li>\n<li><strong>Yaln\u0131zca yeni konf\u00fczyon puan say\u0131l\u0131r.<\/strong> Demans ya da ba\u015fka nedenlerle kronik olan konf\u00fczyon puanlamaya dahil edilmemelidir; bak\u0131c\u0131lara zihinsel durumun mevcut hastal\u0131kla de\u011fi\u015fip de\u011fi\u015fmedi\u011fini sorun.<\/li>\n<li><strong>\u00dcre birimlerine dikkat edin.<\/strong> E\u015fik, 7 mmol\/L'nin \u00fczerindeki \u00fcre de\u011feridir; bu da \u00fcre cinsinden 19,6 mg\/dL'ye kar\u015f\u0131l\u0131k gelir. Baz\u0131 laboratuvarlar bunun yerine kan \u00fcre nitrojenini (BUN) rapor eder \u2014 BUN e\u015fi\u011fi yakla\u015f\u0131k 20 mg\/dL'dir; say\u0131 olarak tesad\u00fcfen yak\u0131n olsa da kavramsal olarak farkl\u0131d\u0131r, laboratuvar\u0131n\u0131z\u0131n neyi \u00f6l\u00e7t\u00fc\u011f\u00fcnden emin olun.<\/li>\n<li><strong>Kural i\u00e7in tek bir tansiyon \u00f6l\u00e7\u00fcm\u00fc yeterlidir<\/strong>, ancak tek bir anormal \u00f6l\u00e7\u00fcm yan\u0131lt\u0131c\u0131 olabilir. \u015e\u00fcpheye d\u00fc\u015ft\u00fc\u011f\u00fcn\u00fczde \u00f6l\u00e7\u00fcm\u00fc tekrarlay\u0131n. Dola\u015f\u0131m durumunun daha b\u00fct\u00fcnc\u00fcl bir g\u00f6r\u00fcn\u00fcm\u00fc i\u00e7in <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/ortalama-arter-basinci\/\">ortalama arter bas\u0131nc\u0131n\u0131<\/a> da hesaplayabilirsiniz.<\/li>\n<li><strong>Y\u00fckselmi\u015f \u00fcre, a\u011f\u0131r enfeksiyondan \u00e7ok b\u00f6brek hastal\u0131\u011f\u0131na veya s\u0131v\u0131 kayb\u0131na<\/strong> i\u015faret ediyor olabilir; kal\u0131c\u0131 olarak y\u00fcksek bir de\u011fer, \u00f6rne\u011fin <a href=\"https:\/\/wpcalc.com\/en\/medical\/egfr-calculator-ckd-epi-2021\/\">eGFR (CKD-EPI 2021) hesaplama arac\u0131yla<\/a> ayr\u0131ca de\u011ferlendirilmeye de\u011fer.<\/li>\n<li><strong>\u00d6l\u00fcm oran\u0131 rakamlar\u0131 yakla\u015f\u0131kt\u0131r<\/strong> ve orijinal Birle\u015fik Krall\u0131k kohortundan (Lim ve ark., Thorax 2003) al\u0131nm\u0131\u015ft\u0131r; ba\u015fka pop\u00fclasyonlarda, ya\u015f gruplar\u0131nda ve sa\u011fl\u0131k sistemlerinde farkl\u0131l\u0131k g\u00f6sterebilir.<\/li>\n<li>Kural eri\u015fkinlerdeki toplumdan edinilmi\u015f pn\u00f6moni i\u00e7in geli\u015ftirilmi\u015ftir. Hastane kaynakl\u0131 pn\u00f6moniye, imm\u00fcn yetmezlikli hastalara veya \u00e7ocuklara uygulanmaz.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Yeni ba\u015flayan konf\u00fczyon, kan \u00fcresi, solunum h\u0131z\u0131, tansiyon ve ya\u015f bilgilerini girin; toplumdan edinilmi\u015f pn\u00f6moni i\u00e7in CURB-65 skorunu, \u015fiddet kategorisini ve \u00f6nerilen bak\u0131m ortam\u0131n\u0131 g\u00f6r\u00fcn.<\/p>\n","protected":false},"author":3168,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[33],"class_list":["post-3897","post","type-post","status-publish","format-standard","hentry","category-tisbi","tag-tani"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/3897","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/comments?post=3897"}],"version-history":[{"count":0,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/3897\/revisions"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/media?parent=3897"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/categories?post=3897"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/tags?post=3897"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}