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Several risk stratification tools, including the pneumonia severity index (PSI) and the CURB-65 score, are available to help decide whether a patient with community-acquired pneumonia (CAP) needs hospital admission. Researchers developed a new stratification tool, called SMART-COP, to determine which patients are likely to require intensive respiratory or vasopressor support (IRVS).
Using data from a prospective, multicenter, observational study, researchers performed multivariate analysis of clinical features from 882 episodes of CAP in 862 patients to identify features that were significantly associated with receipt of IRVS. Ten percent of patients required IRVS. The SMART-COP score was based on eight predictive factors assessed in the eme…