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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)

 
Important: Inputs must be complete to perform calculation.

 

Total Criteria Point Count:
 

 

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%)

 

 

Data action

 

     
 
Include literature references: Yes   No

 

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

 

Associated Medical Subject Headings [MeSH]
 

Aged,   Community-Acquired Infections,   Female,   Humans,   Male,   Middle Aged,   Pneumonia,   ROC Curve,   Severity of Illness Index

 

Associated HCC ICD10-CM Codes
 

	A40.3	Sepsis due to strep pneumoniae
	J12.82	Pneumonia due to coronavirus disease
	J13	Pneumonia due to strep pneumoniae
	J15.0	Pneumonia due to Klebsiella pneumoniae
	J15.1	Pneumonia due to Pseudomonas
	J15.212	Pneumonia due to MRSA
	J18.1	Lobar pneumonia unspecified
	J82.81	Chronic eosinophilic pneumonia
	J84.116	Cryptogenic organizing pneumonia
	J95.851	Ventilator-associated pneumonia

,
 

Associated ICD9-CM Codes
 

	485	Bronchopneumonia org nos
	482.9	Bacterial pneumonia nos
	481	Pneumococcal pneumonia
	480.9	Viral pneumonia nos