
Code EM - Emergency Medicine / Medical Update
May 29, 2025 at 05:03 AM
*SMART-COP Score*
https://doi.org/10.7759/cureus.27248
The SMART-COP score *assesses the severity* of community-acquired pneumonia *(CAP)* and predicts the need for intensive respiratory or vasopressor support (IRVS).
- A score of ≥3 points identifies approximately 92% of patients requiring IRVS, including 84% of those not needing immediate ICU admission. The score is particularly useful in emergency settings to guide decisions on hospital admission, ICU care, or outpatient
*# Limitations*
- May underestimate severity in specific populations (e.g., tropical regions).
- Should be used alongside clinical judgment, not as a sole decision-making tool.
- Less effective for predicting mortality compared to other scores like PSI or CURB-65.
https://litfl.com/wp-content/uploads/2019/09/etg-smartcop.pdf

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