SMART-COP Score Calculator
Predict need for Intensive Respiratory or Vasopressor Support (IRAP) in CAP.
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 ≥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 ≥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 ≥4 hours.