MDCalc

Severe Community-Acquired Pneumonia (SCAP) Score

Predicts risk of adverse outcomes in CAP patients in the ED.

Launched during COVID-19 crisis.

Tips for COVID-19: Use to determine floor vs. ICU. Likely similar performance to SMART-COP.

Arterial pH <7.30

Systolic pressure <90 mmHg

Respiratory rate >30 breaths/min

BUN >30 mg/dL (>10.7 mmol/L)

Altered mental status

E.g. confusion

PaO2 <54 mmHg (or PaO2/FiO2 <250 mmHg)

Age ≥80 years

Multilobar/bilateral X-ray

Result:

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Advice

Threshold for disposition may change during resource-limited situations (such as the COVID-19 outbreak).

Critical Actions

If applying to a patient with potential COVID-19, use this score in conjunction with clinical suspicion and risk factors — particularly advanced age and comorbidities.

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