🫁 SMART-COP (Pneumonia ICU Support)
Predict the need for intensive respiratory or vasopressor support in CAP with SMART-COP.
SMART-COP (Pneumonia ICU Support)
Systolic BP < 90 mmHg
Multilobar infiltrate
Albumin < 3.5 g/dL
High respiratory rate (age-adjusted)
Tachycardia ≥ 125
New confusion
Low oxygenation (age-adjusted)
Arterial pH < 7.35
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
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.