Abstract
Background
Determining prognosis in community acquired pneumonia (CAP), is very important. Many
scores are introduced up to now for prediction of pneumonia prognosis like SMART-COP.
Objective
To evaluate validity of SMART-COP score in prognosis and severity of CAP in emergency
department (ED).
Methods
All patients older than 18 years old with clinical suspicion of CAP (meeting the inclusion
criteria), were enrolled in our study. In this prospective study, patients were admitted
to the ED of a tertiary referral center. Hospital length of stay, rate of intensive
care unit (ICU) admission, mortality rate, number of intensive respiratory or vasopressor
support (IRVS) use, patients' SMART-COP scores and all demographic data were recorded.
Validity of SMART-COP in the prediction of IRVS rate and its correlation with other
variables were determined.
Results
In this study, 47.6% and 52.4% of patients were females and males respectively. The
mean age of patients was 68.13 ± 16.60 years old. The mean hospital length of stay
was 13.49 ± 5.62 days. Of all patients entered in our study, 55 cases (38.5%) needed
ICU admission, 29 cases (20.3%) were expired within 1 month and 44 cases (30.8%) needed
IRVS during their treatment. SMART-COP ≥5 (high risk CAP) accurately predicted the
rate of ICU admission, one-month mortality and IRVS need (p-value = 0.001).
Conclusions
SMART-COP≥5 had a high sensitivity and specificity in the prediction of patients'
prognosis with severe CAP in the ED.
Keywords
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Article Info
Publication History
Published online: October 20, 2018
Accepted:
October 20,
2018
Received in revised form:
October 5,
2018
Received:
July 3,
2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
