{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T19:09:45Z","timestamp":1776625785855,"version":"3.51.2"},"reference-count":23,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,10,2]],"date-time":"2024-10-02T00:00:00Z","timestamp":1727827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the ability of SMART\u2010COP (systolic blood pressure, multilobar infiltrates, albumin, respiratory rate, tachycardia, confusion, oxygen and pH) score to predict the need for intensive care unit (ICU) admission and mortality among patients with non\u2013ventilator\u2010associated hospital\u2010acquired pneumonia (NV\u2010HAP) and to compare ICU\u2010hospitalized patients with those followed\u2010up in the clinic, as well as the patients who survived with those who died in the ICU, in terms of clinical and laboratory parameters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 203 patients (aged &gt; 65\u2009years) who were diagnosed with NV\u2010HAP while staying in the geriatric clinic were enrolled in this retrospective observational study. Patient information was retrieved from hospital files.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In a total of 203 patients with NV\u2010HAP, the rate of ICU admission was 77.3% and the rate of mortality was 40.9%. The SMART\u2010COP score was significantly higher in those admitted to the ICU and those died in the ICU (ICU nonsurvivors). The rate of ICU mortality was 52.9%. The SMART\u2010COP score had significantly poor to moderate ability to predict the need for ICU admission (area under the curve [AUC]\u2009=\u20090.583) and both in\u2010hospital mortality (AUC\u2009=\u20090.633) and ICU mortality (AUC\u2009=\u20090.617) with low sensitivity. The regression analysis revealed that a one\u2010unit increase in SMART\u2010COP score resulted in a 1.2\u2010fold increase in both the hospital and ICU mortality (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05 for both) and 1.1\u2010fold increase in ICU admission (<jats:italic>P<\/jats:italic>\u2009=\u20090.154).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The SMART\u2010COP score has poor to moderate ability to predict the need for ICU admission, in\u2010hospital mortality and ICU mortality, and a one\u2010unit increase in the SMART\u2010COP score significantly increases the risk of both hospital and ICU mortality. <jats:bold>Geriatr Gerontol Int 2024; 24: 1165\u20131172<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.14990","type":"journal-article","created":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T00:59:27Z","timestamp":1727917167000},"page":"1165-1172","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Ability of the <scp>SMART<\/scp>\u2010<scp>COP<\/scp> score to predict the need for intensive care unit admission and mortality in older patients with non\u2013ventilator\u2010associated hospital\u2010acquired pneumonia: A retrospective observational study"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0973-724X","authenticated-orcid":false,"given":"Korhan","family":"Kollu","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Division of Intensive Care Medicine University of Health Sciences, Konya City Hospital  Konya T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7094-8387","authenticated-orcid":false,"given":"Merve","family":"Yilmaz Kars","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Geriatrics University of Health Sciences, Konya City Hospital  Konya T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9979-691X","authenticated-orcid":false,"given":"Mustafa Hakan","family":"Dogan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Geriatrics University of Health Sciences, Konya City Hospital  Konya T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7658-831X","authenticated-orcid":false,"given":"Ilyas","family":"Akkar","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Geriatrics University of Health Sciences, Konya City Hospital  Konya T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3016-8173","authenticated-orcid":false,"given":"Ayse","family":"Dikmeer","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Geriatrics University of Health Sciences, Konya City Hospital  Konya T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7632-6811","authenticated-orcid":false,"given":"Muhammet Cemal","family":"Kizilarslanoglu","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Geriatrics University of Health Sciences, Konya City Hospital  Konya T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,2]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"148","volume-title":"Global Report on Infection Prevention and Control","author":"World Health Organization","year":"2022"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2018.23.46.1800516"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1306801"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2016.74"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2013.06.021"},{"key":"e_1_2_9_7_1","unstructured":"Harvard Medicaql School. 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