What scores does this tool compare?

It compares CURB-65, PSI/PORT, and SMART-COP for pneumonia severity.

What information is required?

Age and sex are required. Other inputs cover symptoms, vital signs, laboratory findings, chest X-ray findings, and selected comorbidities.

What does CURB-65 measure?

CURB-65 uses confusion, urea, respiratory rate, blood pressure, and age 65 or older for rapid bedside triage.

What is SMART-COP designed to identify?

SMART-COP helps identify patients who may need ICU respiratory or vasopressor support.

What should I do if the scores disagree?

Review the individual results and favor the more conservative disposition, with clinical judgment and local guidance.

CURB-65 vs PSI vs SMART-COP (Pneumonia Severity Comparison) | Online Free Tool

CURB-65 vs PSI vs SMART-COP (Pneumonia Severity Comparison) | Online Free Tool | Elysia Tools

Examples

1. Severe septic pneumonia with concordant high-risk scores

Emergency clinician

Background

A 70-year-old patient has new confusion, elevated urea, a respiratory rate of 32/min, systolic blood pressure of 85 mmHg, oxygen saturation of 88%, arterial pH of 7.30, multilobar infiltrates, and albumin of 3.0 g/dL.

Problem

Compare three severity tools to assess whether the findings consistently indicate hospital and ICU-level concern.

How to use

Enter age 70, select the relevant confusion, urea, respiratory-rate, blood-pressure, hypoxia, pH, multilobar infiltrate, and low-albumin findings, and leave unrelated findings unselected.

CURB-65 criteria: confusion, urea, RR ≥30, SBP <90, and age ≥65. PSI findings: RR ≥30, SBP <90, urea-related risk, pH <7.35, and hypoxia. SMART-COP findings: SBP <90, hypoxia, multilobar infiltrate, albumin <3.5, RR ≥25, confusion, and pH <7.35.

Outcome

CURB-65 is 5 (high), PSI is Class V, and SMART-COP is 9 (high). The tool reports concordant high risk, supporting hospital admission and consideration of ICU care.

2. Mild pneumonia with concordant low-risk scores

Clinician reviewing outpatient eligibility

Background

A 40-year-old patient has suspected pneumonia, a respiratory rate of 22/min, no listed comorbidities, and no selected abnormal vital-sign, laboratory, or imaging findings.

Problem

Check whether CURB-65, PSI, and SMART-COP produce a consistent low-risk assessment.

How to use

Enter age 40 and male sex, then leave the clinical finding and comorbidity checkboxes unselected.

Age: 40. Confusion: false. Urea: false. RR ≥30: false. RR ≥25: false. SBP <90: false. All other listed findings and comorbidities: false.

Outcome

CURB-65 is 0 (low), PSI is Class I, and SMART-COP is 0 (low). The tool reports concordant low risk and an outpatient-oriented interpretation.

CURB-65 vs PSI vs SMART-COP (Pneumonia Severity Comparison)

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Key facts

Overview

When to use

How it works

Use cases

Examples

1. Severe septic pneumonia with concordant high-risk scores

2. Mild pneumonia with concordant low-risk scores

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