SCAP_Score v.1

SCAP Score helps to predict the chance for "severe CAP", defined by adverse outcomes including inpatient mortality, septic shock, and/or need for mechanical ventilation in Emergency Care settings.

Rashmi Damodaran

models@cambiocds.com

To calculate SCAP Score and predict the chance for Severe CAP in patients diagnosed to have CAP in the Emergency Department, leading to adverse outcomes.

Used in patients diagnosed with CAP in ED to predict the adverse outcomes, which are defined by inpatient mortality, septic shock, and/or need for mechanical ventilation. Formula: The SCAP Score is calculated by adding the selected points of all the 8 variables. Variables Points Systolic BP < 90 mmHg Yes 11 No 0 pH < 7.30 Yes 13 No 0 Respiration Rate > 30/min Yes 9 No 0 BUN > 30 mg/dl Yes 5 No 0 Altered mental status Yes 5 No 0 PaO2 < 54mmHg Yes 6 (Pao2/FiO2 < 250 mmHg) No 0 Age >= 80 years Yes 5 No 0 Multilobar/bilateral involvement Yes 5 In CXR No 0 Interpretation of SCAP Score: A cut-off of SCAP Score >= 10 is classified as Severe CAP and recommended for ICU, monitored bed, and/or immediate intervention. SCAP Score Risk of SCAP 0 0.27-3.43% 1-9 0.66 – 3.25% 10-19 9.23 – 11.24% 20 – 29 36.62 – 41.82% >=30 50%

Age and other comorbidities must be also taken into consideration when used in COVID-19 patients.

1. España PP, Capelastegui A, Gorordo I, Esteban C, Oribe M, Ortega M, et al. Development and validation of a clinical prediction rule for severe community-acquired pneumonia. Am J Respir Crit Care Med. 2006 Dec 1;174(11):1249–56. 2. Yandiola PPE, Capelastegui A, Quintana J, Diez R, Gorordo I, Bilbao A, et al. Prospective comparison of severity scores for predicting clinically relevant outcomes for patients hospitalized with community-acquired pneumonia. Chest. 2009 Jun;135(6):1572–9. \n"

OBSERVATION.basic_demographic.v1, OBSERVATION.blood_pressure.v2, OBSERVATION.respiration.v2, OBSERVATION.severe_community_acquired_pneumonia_score.v0, EVALUATION.severe_community_acquired_pneumonia_score_assessment.v0