A-DROP Score (JRS CAP Severity)

A-DROP score (Japanese Respiratory Society CAP severity) — a 0-5 count over Age (male >= 70 / female >= 75), Dehydration (BUN >= 21 mg/dL), Respiratory failure, Orientation disturbance, and low blood Pressure.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Age
Yes
Dehydration
Yes
Orientation disturbance
Yes

Result: A-DROP 3 of 5 — severe (admission per source).

The tool opens with these values already filled in. Replace them with your own.

What the result means

0
Mild — outpatient care per source.
1-2
Moderate.
3
Severe — admission per source.
4-5
Extremely severe — consider ICU per source. A severity category, not an admission order.

What you enter

  • Age (male >= 70 or female >= 75)
  • Dehydration (BUN >= 21 mg/dL / 7.5 mmol/L)
  • Respiratory failure (SpO2 <= 90% or PaO2 <= 60 mmHg)
  • Orientation disturbance (new confusion)
  • Low blood pressure (systolic <= 90 mmHg)
How this is calculated

Miyashita N, Matsushima T, Oka M; Japanese Respiratory Society. The JRS guidelines for the management of community-acquired pneumonia in adults. Intern Med. 2006;45(7):419-428. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.