SMART-COP (Pneumonia ICU Support) — free guideline decision tool
Predict the need for intensive respiratory or vasopressor support in CAP with SMART-COP.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Systolic BP < 90 mmHg | No |
|---|---|
| Multilobar infiltrate | No |
| Albumin < 3.5 g/dL | No |
| High respiratory rate (age-adjusted) | No |
| Tachycardia ≥ 125 | No |
| New confusion | No |
| Low oxygenation (age-adjusted) | No |
| Arterial pH < 7.35 | No |
→SMART-COP0
- Need for intensive support：Low risk
- Note：≥ 3 points identifies patients who may need intensive respiratory or vasopressor support (IRVS).
| Systolic BP < 90 mmHg | Yes (+2) |
|---|---|
| Multilobar infiltrate | Yes (+1) |
| Albumin < 3.5 g/dL | Yes (+1) |
| High respiratory rate (age-adjusted) | Yes (+1) |
| Tachycardia ≥ 125 | Yes (+1) |
| New confusion | Yes (+1) |
| Low oxygenation (age-adjusted) | Yes (+2) |
| Arterial pH < 7.35 | Yes (+2) |
→SMART-COP11
- Need for intensive support：Very high (2 in 3)
- Note：≥ 3 points identifies patients who may need intensive respiratory or vasopressor support (IRVS).
Common questions
What is SMART-COP (Pneumonia ICU Support)?
Predict the need for intensive respiratory or vasopressor support in CAP with SMART-COP.
How is SMART-COP (Pneumonia ICU Support) calculated? What is the core formula?
Systolic BP < 90 (2), Multilobar infiltrate (1), Albumin < 3.5 (1), Respiratory rate high (1), Tachycardia ≥ 125 (1), Confusion (1), Oxygen low (2), pH < 7.35 (2). RR/oxygen thresholds are age-adjusted.
When is SMART-COP (Pneumonia ICU Support) used?
ICU triage in community-acquired pneumonia.
What are the key clinical points for SMART-COP (Pneumonia ICU Support)?
≥ 3 flags possible need for intensive support (IRVS). Complements CURB-65/PSI for ICU decisions. Higher scores predict greater support needs.
What are the limits and cautions when using SMART-COP (Pneumonia ICU Support)?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
How is SMART-COP (Pneumonia ICU Support) calculated in practice? Can you show a worked example?
Inputs: Systolic BP < 90 mmHg No, Multilobar infiltrate No, Albumin < 3.5 g/dL No, High respiratory rate (age-adjusted) No, Tachycardia ≥ 125 No, New confusion No, Low oxygenation (age-adjusted) No, Arterial pH < 7.35 No → Result: SMART-COP 0（Need for intensive support: Low risk, Note: ≥ 3 points identifies patients who may need intensive respiratory or vasopressor support (IRVS).） Inputs: Systolic BP < 90 mmHg Yes (+2), Multilobar infiltrate Yes (+1), Albumin < 3.5 g/dL Yes (+1), High respiratory rate (age-adjusted) Yes (+1), Tachycardia ≥ 125 Yes (+1), New confusion Yes (+1), Low oxygenation (age-adjusted) Yes (+2), Arterial pH < 7.35 Yes (+2) → Result: SMART-COP 11（Need for intensive support: Very high (2 in 3), Note: ≥ 3 points identifies patients who may need intensive respiratory or vasopressor support (IRVS).）
Run SMART-COP (Pneumonia ICU Support) now
Predict the need for intensive respiratory or vasopressor support in CAP with SMART-COP.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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