Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10437
Title: The SMART-COP score performs well for pneumonia risk stratification in Australia's Tropical Northern Territory: a prospective cohort study.
Authors: Robins-Browne, Karen L
Cheng, Allen C
Thomas, Kathleen A S
Palmer, Didier J
Currie, Bart J
Davis, Joshua S
Affiliation: Royal Darwin Hospital, Darwin, NT, Australia..
Issue Date: Jul-2012
Citation: Tropical medicine & international health : TM & IH 2012-07; 17(7): 914-9
Abstract: 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.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/10437
DOI: 10.1111/j.1365-3156.2012.03006.x
Type: Journal Article
Research Support, Non-U.S. Gov't
Subjects: 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
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