SMART-COP Score Calculator
Enter eight clinical parameters to get the SMART-COP score and predict whether a CAP patient needs intensive respiratory or vasopressor support.
Use the SMART-COP Score Calculator
Patient Parameters
All fields required. Age affects respiratory rate and oxygenation thresholds.
Fill in the parameters and click Calculate to see the SMART-COP score and IRVS risk.
SMART-COP Score
0Score Breakdown
Clinical decision-support only. Always integrate scores with the full clinical picture, local resources, and physician judgment.
Summary
The SMART-COP score is a validated clinical tool for predicting which adults hospitalized with community-acquired pneumonia (CAP) will require intensive respiratory or vasopressor support (IRVS). It scores eight bedside parameters on a 0–11 point scale and stratifies patients into minimal, low, moderate, and high risk groups. Use it alongside PSI/PORT or CURB-65 to guide early ICU triage.
How it works
- Enter the patient's systolic blood pressure, multilobar involvement, albumin level, and respiratory rate.
- Provide the tachycardia status, confusion assessment, oxygenation data, and arterial pH.
- Each parameter contributes 1–2 points; respiratory rate and oxygenation thresholds are age-adjusted.
- Total score is computed instantly with an IRVS risk category.
- Use the result alongside clinical judgment to guide ICU triage decisions.
Use cases
- Triage adults admitted with community-acquired pneumonia to standard ward vs. ICU.
- Identify high-risk patients who may need early vasopressor or ventilatory support.
- Supplement CURB-65 or PSI/PORT scoring with an IRVS-specific prediction tool.
- Quickly reassess risk at the bedside when a patient's condition changes.
- Teach medical students and residents CAP severity stratification.
- Document objective severity assessment in clinical notes.