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  SMART COP Score for Pneumonia Severity

 
Blood pressure, CXR and nutrition factors

Systolic BP <90 mmHg (2 points)

Multiple lobes involved on chest x-ray (1 point)

Albumin level less than 3.5 g/dL (1 point)
Respiration/Age factor

Any age: respiratory rate less than 25 breaths/minute (0 points)

50 years old or younger: respiratory rate 25 breaths/minute or more (1 point)

Over 50 years old: respiratory rate 30 breaths/minute or more (1 point)
Cardiovascular factor

Tachycardia of 125 beats/minute or more (1 point)
Mental status factor

Confusion (acute) (1 point)
Oxygenation/Age and acid-base factors

Any age: PaO2 ≥70 mmHg or O2 Saturation ≥94% or PaO2/FiO2 ≥333 if receiving O2 (0 points)

50 years old or younger: PaO2 <70 mmHg or O2 Saturation ≤93% or PaO2/FiO2 <333 if receiving O2 (2 points)

Over 50 years old: PaO2 <60 mmHg or O2 Saturation ≤90% or PaO2/FiO2 <250 if receiving O2 (2 points)

pH (arterial) <7.35 (2 points)

 
Total Criteria Point Count:
 
     
 
Include literature references: Yes   No

 
  SMART COP Score and Risk for Ventilation or Vasopressor Support

 
0 to 2 points: Low risk
3 to 4 points: Moderate risk (approximately 12.5%)
5 to 6 points: High risk (approximately 33%)
7 to 11 points: Very high risk (approximately 67%)

 

 
References
  1. Charles PG, Wolfe R, Whitby M, Fine MJ, Australian Community-Acquired Pneumonia Study Collaboration, 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. doi: 10.1086/589754. PubMed ID: 18558884 PubMed Logo

 
Associated Medical Subject Headings [MeSH]
 
         Aged,   Community-Acquired Infections,   Female,   Humans,   Male,   Middle Aged,   Pneumonia,   ROC Curve,   Severity of Illness Index

 
Associated ICD10-CM Codes
 
   J12.9Viral pneumonia, unspecified
   J18.1Lobar pneumonia, unspecified organism
   J13Pneumonia due to Streptococcus pneumoniae
   J15.9Unspecified bacterial pneumonia
   J18.0Bronchopneumonia, unspecified organism

 
Associated ICD9-CM Codes
 
   485Bronchopneumonia org nos
   482.9Bacterial pneumonia nos
   481Pneumococcal pneumonia
   480.9Viral pneumonia nos

 
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All information contained in and produced by the EBMcalc system is provided for educational purposes only. This information should not be used for the diagnosis or treatment of any health problem or disease. THIS INFORMATION IS NOT INTENDED TO REPLACE CLINICAL JUDGMENT OR GUIDE INDIVIDUAL PATIENT CARE IN ANY MANNER. Click here for full notice and disclaimer.
 
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