respiratory emergency

SCAP Score for Severe Community-Acquired Pneumonia

Severe Community-Acquired Pneumonia (SCAP) score for predicting adverse outcomes (need for ICU, mechanical ventilation, death) in hospitalised CAP patients. 8-variable score. High score predicts severe outcome. Validated by Espana et al. 2006. Can be used alongside PSI/PORT and CURB-65 for ICU triage.

Arterial pH below 7.30*

Systolic blood pressure below 90 mmHg*

Respiratory rate above 30/min*

BUN above 30 mg/dL (above 10.7 mmol/L)*

Age above 80 years*

PaO2 below 54 mmHg OR SpO2 below 90% on room air*

Multilobar infiltrates on CXR*

Altered mental status or confusion*

References

Espana PP et al. Development and validation of a clinical prediction rule for severe community-acquired pneumonia. Am J Respir Crit Care Med. 2006;174(11):1249-1256.
Lim WS et al. BTS guidelines for the management of community acquired pneumonia in adults: update 2009. Thorax. 2009;64(Suppl 3):iii1-55.

Curated clinical cross-links plus same-class fallbacks.

Calculators

Drugs

Pathways

Decision support only — verify against MDCalc, NICE, or your local guideline before clinical use.

References

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