SOAP3 Score Calculator
Assess risk of clinical deterioration in older adults with suspected bacterial infection
Patient Assessment
Complete all fields to calculate the SOAP3 score:
SOAP3 Score: 0/7
Clinical Note: The SOAP3 score helps identify patients at high risk for clinical deterioration. Patients with scores ≥5 have approximately 40% risk of ICU admission or 30-day mortality and warrant aggressive intervention.
About the SOAP3 Score
What is the SOAP3 Score?
The SOAP3 score is a clinical prediction tool designed to identify adult patients with suspected bacterial infection who are at high risk for clinical deterioration (ICU admission or 30-day mortality).
SOAP3 Components
- Suspected Origin of Infection
- Age
- Pulse (Heart Rate)
- Pressure (Systolic BP)
- Peroxidase (Plasma Peroxidase Activity)
Score Interpretation
- 0-2 Points: Low Risk (~5% risk of ICU/mortality)
- 3-4 Points: Intermediate Risk (~15-20% risk of ICU/mortality)
- ≥5 Points: High Risk (~40% risk of ICU/mortality)
Clinical Implications
- Low Risk: May be suitable for standard ward care
- Intermediate Risk: Requires close monitoring, consider higher-acuity units
- High Risk: Warrants aggressive intervention (early antibiotics, fluids, ICU consultation)
Special Considerations for Geriatric Patients
- Older adults often present with atypical infection signs
- SOAP3 helps overcome diagnostic challenges in this population
- Age is directly weighted in the scoring system
- Use in conjunction with clinical judgment and geriatric assessment tools
