🫁 A-DROP Pneumonia Severity (JRS)
UseJapanese Respiratory Society modification of CURB-65; community-acquired pneumonia severity (0–5).
StrataA-DROP grades CAP severity. Site of care and treatment follow current guidelines and local protocol, consider…
LimitsNot a diagnosis or disposition decision on its own. · Interpret with history, examination and other tests. · For licensed clinicians; does not replace clinical judgement.
SourceMiyashita N, et al. The JRS guidelines for the management of community-acquired pneumonia in adults…
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
Age (men ≥70 / women ≥75), dehydration (BUN ≥21 mg/dL), respiration (SpO₂ ≤90% / PaO₂ ≤60 mmHg), disorientation, SBP ≤90 mmHg; +1 each.
When to use
Japanese Respiratory Society modification of CURB-65; community-acquired pneumonia severity (0–5).
How it works
Age (men ≥70 / women ≥75), dehydration (BUN ≥21 mg/dL), respiration (SpO₂ ≤90% / PaO₂ ≤60 mmHg), disorientation, SBP ≤90 mmHg; +1 each.
Key points
- Age (men ≥70 / women ≥75), dehydration (BUN ≥21 mg/dL), respiration (SpO₂ ≤90% / PaO₂ ≤60 mmHg), disorientation, SBP ≤90 mmHg; +1 each.
- 0 mild · 1–2 moderate · 3 severe · 4–5 very severe.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Age (male ≥ 70 / female ≥ 75) | No |
|---|---|
| Dehydration (BUN ≥ 21 mg/dL or clinical dehydration) | No |
| Respiratory failure (SpO2 ≤ 90% or PaO2 ≤ 60 mmHg) | No |
| Orientation disturbance (confusion) | No |
| Systolic BP ≤ 90 mmHg | No |
→A-DROP0/5 · Mild
- Items：Age (men ≥70 / women ≥75), dehydration (BUN ≥21 mg/dL), respiration (SpO₂ ≤90% / PaO₂ ≤60 mmHg), disorientation, SBP ≤90 mmHg; +1 each.
- Grades：0 mild · 1–2 moderate · 3 severe · 4–5 very severe.
| Age (male ≥ 70 / female ≥ 75) | Yes (+1) |
|---|---|
| Dehydration (BUN ≥ 21 mg/dL or clinical dehydration) | Yes (+1) |
| Respiratory failure (SpO2 ≤ 90% or PaO2 ≤ 60 mmHg) | Yes (+1) |
| Orientation disturbance (confusion) | Yes (+1) |
| Systolic BP ≤ 90 mmHg | Yes (+1) |
→A-DROP5/5 · Very severe
- Items：Age (men ≥70 / women ≥75), dehydration (BUN ≥21 mg/dL), respiration (SpO₂ ≤90% / PaO₂ ≤60 mmHg), disorientation, SBP ≤90 mmHg; +1 each.
- Grades：0 mild · 1–2 moderate · 3 severe · 4–5 very severe.
Verification & sources · governance
FAQ
Frequently asked questions
- Does A-DROP Pneumonia Severity (JRS) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.