🫁 SMART-COP (Pneumonia ICU Support)
Predict the need for intensive respiratory or vasopressor support in CAP with SMART-COP.
≥ 3 flags possible need for intensive support (IRVS).
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When to use
ICU triage in community-acquired pneumonia.
How it works
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.
Key points
- ≥ 3 flags possible need for intensive support (IRVS).
- Complements CURB-65/PSI for ICU decisions.
- Higher scores predict greater support needs.
References
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).
Frequently asked 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).）