Pulmonology

SMART-COP (Pneumonia)

Predicts need for intensive respiratory/vasopressor support.

Education and reference only. Not a substitute for clinical judgement, local policy or product labelling. Always verify before clinical use. Values are calculated in your browser and never stored.

When to use

Use in community-acquired pneumonia to predict the need for intensive respiratory or vasopressor support (IRVS).

Why use

It identifies patients likely to need ICU-level support, complementing CURB-65.

Advice

Oxygen criterion is age-adjusted: ≤50y PaO₂<70 / SpO₂≤93 / PF<333; >50y PaO₂<60 / SpO₂≤90 / PF<250. Use alongside CURB-65 and clinical judgement.

Evidence & references

  1. Charles PG et al. SMART-COP: a tool for predicting the need for intensive respiratory or vasopressor support in CAP. Clin Infect Dis. 2008.

About the creator

Charles PG et al.

Related calculators

CURB-65 ScoreSeverity and mortality risk in community-acquired pneumonia.CRB-65 ScoreCommunity pneumonia severity (no bloods needed).PSI / PORT Score (Pneumonia)30-day mortality risk in community pneumonia.

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