SMART-COP Score Calculator

Predict need for Intensive Respiratory or Vasopressor Support (IRAP) in CAP.

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Important Health Disclaimer

This calculator provides general health information based on standard medical formulas and WHO guidelines. Results are for informational and educational purposes only and should not be considered as professional medical advice, diagnosis, or treatment recommendations.

For health concerns, medical conditions, fitness plans, or dietary decisions, please consult with qualified healthcare professionals, licensed physicians, registered dietitians, or certified fitness trainers who can evaluate your individual health status and medical history.

Individual health needs vary significantly. These calculations are general estimates and may not be appropriate for everyone, especially those with existing medical conditions, pregnant women, children, or elderly individuals.

Not a substitute for professional medical advice

SMART-COP Criteria

Select all criteria that apply:

SMART-COP Score

0/11

Low Risk

IRAP Risk: 0-5%

Risk Level
Low Risk
IRAP Risk
0-5%

Clinical Recommendation

Low risk of needing IRAP. May be suitable for outpatient management or general medical floor.

Risk Stratification

  • Score 0-2: Low risk (0-5% IRAP)
  • Score 3-4: Moderate risk (11-17% IRAP)
  • Score 5-6: High risk (35-44% IRAP)
  • Score β‰₯7: Very High risk (>50% IRAP)

SMART-COP Mnemonic

  • Systolic BP <90 (2 pts)
  • Multilobar CXR
  • Albumin <3.5 g/dL
  • Respiratory rate elevated
  • Tachycardia β‰₯125
  • Confusion
  • Oxygen low (2 pts)
  • PH <7.35 (2 pts)

IRAP Definition

Intensive Respiratory or vAsopressor suPport includes: mechanical ventilation (invasive or non-invasive) and/or vasopressor support for β‰₯4 hours.

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