SMART-COP_Score v.1
SMART-COP Score is used to predict the need for intensive respiratory or vasopressor support (IRVS) in community-acquired pneumonia (CAP)
The purpose is to calculate the SMART-COP (Systolic BP, Multi-lobar involvement on chest x-ray, Albumin, Respiration Rate, Tachycardia, Confusion, Oxygen low, pH level) Score and predict the need for IRVS in CAP.
This is used in patients ≥18 years with clinical and radiographic findings consistent with community-acquired pneumonia (CAP). The variables used to calculate SMART-COP Score are: Variables 0 Points 1 Point 2 Points Systolic BP No Yes Multi-lobar CXR involvement No Yes Albumin (< 3.5g/dl or 35 g/l) No Yes Respiration < 25, if age <=50yrs >=25, if age <=50yrs <30, if age>50yrs >=30, if age >50yrs Tachycardia (>125/min) No Yes Confusion (new onset) No Yes Oxygen low PaO2 ≥60 (or SaO2 >90% PaO2 <60 (or SaO2 ≤90% or P/F ratio ≥250), if age >50 or P/F ratio <250), if age >50 PaO2 ≥70 (or SaO2 >93% or PaO2 <70 (or SaO2 ≤93% P/F ratio ≥333), if age ≤50 or P/F ratio<333), if age ≤50 pH <7.35 No Yes Interpretation of SMART-COP Score SMART-COP Score Risk Group Risk for IRVS 0-2 Low Minimal 3-4 Moderate 1 in 8 5-6 High 1 in 3 Consider ICU admission >=7 Very High 2 in 3 Consider ICU admission
This is used in patients above 18 years and is not applicable in immunocompromised patients
1. Charles PGP, Wolfe R, Whitby M, Fine MJ, Fuller AJ, Stirling R, et al. SMART-COP: a tool for predicting the need for intensive respiratory or vasopressor support in community-acquired pneumonia. Clin Infect Dis. 2008 Aug 1;47(3):375–84. 2. Marti C, Garin N, Grosgurin O, Poncet A, Combescure C, Carballo S, et al. Prediction of severe community-acquired pneumonia: a systematic review and meta-analysis. Crit Care. 2012 Jul 27;16(4):R141. 3. Valley TS, Sjoding MW, Ryan AM, Iwashyna TJ, Cooke CR. Association of Intensive Care Unit Admission With Mortality Among Older Patients With Pneumonia. JAMA. 2015 Sep 22;314(12):1272–9.
OBSERVATION.basic_demographic.v1, OBSERVATION.blood_pressure.v2, OBSERVATION.smart_cop_score_for_pneuminia_severity.v0, OBSERVATION.lab_test-serum_albumin.v1, OBSERVATION.respiration.v2, OBSERVATION.lab_test-blood_gases.v1, EVALUATION.smart_cop_score_for_pneumonia_severity_assessment.v0
