Robins-Browne KL

Cheng AC

Thomas KAS

Palmer, Didier

Currie, Bart

Davis JS

2012-07-01

To prospectively compare a modified pneumonia severity scoring system, SMARTACOP, with other severity scores in patients presenting with pneumonia to the emergency department (ED) of a tertiary referral hospital in tropical Australia. We conducted a prospective observational study of adult patients presenting with radiologically confirmed pneumonia over a 12-month period. The sensitivity of risk stratification scores were assessed against the need for intensive respiratory or vasopressor support (IRVS). There were 367 ED attendances for pneumonia of whom 77.1% were admitted to hospital, 10% required intensive respiratory or vasopressor support and 2.8% died. Mean age was 50.0 years, 52% were men and 59% were Indigenous. The sensitivity of a SMART-COP score ≥3, a SMARTACOP score ≥3 and a pneumonia severity index (PSI) class ≥3 for predicting IRVS was 97%, 97% and 78% respectively. We found no significant advantage of the SMARTACOP over the SMART-COP score for the prediction of intensive respiratory or vasopressor support, but both scores significantly outperformed PSI. The SMART-COP score should replace the PSI in tropical Australia and should be assessed in other tropical areas for pneumonia risk stratification in emergency departments.

Trop Med Int Health . 2012 Jul;17(7):914-9. doi: 10.1111/j.1365-3156.2012.03006.x. Epub 2012 May 18.

https://pubmed.ncbi.nlm.nih.gov/22594676/?otool=iaurydwlib

https://hdl.handle.net/10137/5685

Adult

Cohort Studies

Community-Acquired Infections

Emergency Service, Hospital

Female

Humans

Male

Middle Aged

Northern Territory

Pneumonia

Predictive Value of Tests

Prospective Studies

Risk Assessment

Severity of Illness Index

The SMART-COP score performs well for pneumonia risk stratification in Australia's Tropical Northern Territory: a prospective cohort study.

Journal Article

Publication