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Pulmonology · ICU and Critical Care

SMART-COP Score calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

years

Allowed range: 18–110 years

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breaths/min

Allowed range: 4–80 breaths/min

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%

Allowed range: 50–100 %

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Result

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Clinical inputs

  • Age (years)Accepted range: 18 to 110
  • Systolic blood pressure < 90
  • Multilobar involvement (+1)
  • Albumin < 35 (present)
  • Respiratory rate (breaths per minute) (breaths/min)Accepted range: 4 to 80
  • Heart Rate ≥ 125
  • New confusion (+1)
  • Oxygen saturation (SpO₂, room air or usual O₂, %)Accepted range: 50 to 100
  • Arterial Ph < 735

Primary source

Charles PG et al. SMART-COP: predicting need for intensive respiratory or vasopressor support in CAP. Clin Infect Dis. DOI: 10.1086/589754. PMID: 18558884. Scope: SMART-COP weighted points for hypotension (+2), multilobar (+1), albumin<35 (+1), age-adjusted respiratory rate (+1: RR≥25/min if age≤50, RR≥30/min if age>50), tachycardia≥125 (+1), confusion (+1), age-adjusted low oxygenation (+2: SpO2≤93% if age≤50, SpO2≤90% if age>50), pH<7.35 (+2). (2008)

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