Prognostic value of intensive care scores concerning the prediction of 30-day mortality in COVID-19
Objective: The goal of our study was to determine the prognostic value of CURB-65, Sequential Organ Failure Assessment (SOFA), pneumonia severity index (PSI), MuLBSTA, and Acute Physiology and Chronic Health Evaluation (APACHE) II upon admission in patients with coronavirus disease 2019 (COVID-19,...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Kerman University of Medical Sciences
2023-01-01
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| Series: | Journal of Emergency Practice and Trauma |
| Subjects: | |
| Online Access: | http://www.jept.ir/article_92106_145252e22e6e991c14a27aa3448252a3.pdf |
| _version_ | 1797827710365466624 |
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| author | Navid Kalani Masoud Tavasolian Khaterh Dehghani Seyed Reza Mousavi Erfan Ghanbarzadeh Masihallah Shaker Elahe Rahmanian Poorya Aryanpoor Naser Hatami Zhila Rahmanian Samaneh Abiri |
| author_facet | Navid Kalani Masoud Tavasolian Khaterh Dehghani Seyed Reza Mousavi Erfan Ghanbarzadeh Masihallah Shaker Elahe Rahmanian Poorya Aryanpoor Naser Hatami Zhila Rahmanian Samaneh Abiri |
| author_sort | Navid Kalani |
| collection | DOAJ |
| description | Objective: The goal of our study was to determine the prognostic value of CURB-65,
Sequential Organ Failure Assessment (SOFA), pneumonia severity index (PSI), MuLBSTA, and Acute Physiology and Chronic Health Evaluation (APACHE) II upon admission in patients with coronavirus disease 2019 (COVID-19, as well as the prediction cut-off value for death regarding these parameters.
Methods: This observational retrospective study was performed in COVID-19 triage
in Peymaniyeh hospital in Jahrom in 2021. In order to calculate SOFA, APACHE II, PSI,
MuLBSTA, and CURB-65, data were collected from patients who were selected by available sampling method from PCR-confirmed COVID-19 patients. Thirty-day mortality was assessed as the primary outcome. ROC analysis was conducted using the STATA software to evaluate the prognostic value of the scoring systems. DeLong test was utilized to compare AUC of scores using a web based tool.
Results:Ninety-two patients were included in this study with the mean age of 51.02±17.81 years (male to female ratio was 1:1). SOFA had an AUC of 0.656 (P=0.130), but other indices had statistically significant values of AUC. Based on the comparison of the AUCs, SOFA was the worst scoring system in COVID-19 as it had significantly lower AUC than PSI and APACHE II (P<0.05); while its comparison with MULBSTA and CURB65 was not statistically significant (P>0.05).
Conclusion: It seems that APACHE II and PSI are the best prognostic factors in our study with no statistical difference compared together (P>0.05). The sensitivity of APACHE II and PSI was 0.857 with the specificity of 0.927 and 0.976, respectively. The optimal cut-off point was 13 and 50 for APACHE II and PSI, respectively. |
| first_indexed | 2024-04-09T12:52:43Z |
| format | Article |
| id | doaj.art-6dff9a38b4af4db89ea6606f984bc1f1 |
| institution | Directory Open Access Journal |
| issn | 2383-4544 |
| language | English |
| last_indexed | 2024-04-09T12:52:43Z |
| publishDate | 2023-01-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | Journal of Emergency Practice and Trauma |
| spelling | doaj.art-6dff9a38b4af4db89ea6606f984bc1f12023-05-14T05:55:02ZengKerman University of Medical SciencesJournal of Emergency Practice and Trauma2383-45442023-01-01911924https://doi.org/10.34172/jept.2022.28Prognostic value of intensive care scores concerning the prediction of 30-day mortality in COVID-19Navid Kalani0https://orcid.org/0000-0003-1900-4215Masoud Tavasolian1Khaterh Dehghani2Seyed Reza Mousavi3Erfan Ghanbarzadeh4Masihallah Shaker5Elahe Rahmanian6 Poorya Aryanpoor7Naser Hatami8Zhila Rahmanian9https://orcid.org/0000-0002-1338-5662Samaneh Abiri10https://orcid.org/0000-0002-0224-5672Research Center for Non-communicable Diseases, Jahrom University of Medical Sciences, Jahrom, IranStudent Research Committee, Jahrom University of Medical Sciences, Jahrom, IranResearch Center for Non-communicable Diseases, Jahrom University of Medical Sciences, Jahrom, IranDepartment of Neurosurgery, School of Medicine, Chamran Hospital, Namazi Teaching Hospital, Shiraz University of Medical Science, IranStudent Research Committee, Guilan University of Medical Sciences, Rasht, IranResearch Center for Non-communicable Diseases, Jahrom University of Medical Sciences, Jahrom, IranResearch Center for Non-communicable Diseases, Jahrom University of Medical Sciences, Jahrom, IranStudent Research Committee, Jahrom University of Medical Sciences, Jahrom, IranStudent Research Committee, Jahrom University of Medical Sciences, Jahrom, IranResearch Center for Non-communicable Diseases, Jahrom University of Medical Sciences, Jahrom, IranResearch Center for Non-communicable Diseases, Jahrom University of Medical Sciences, Jahrom, IranObjective: The goal of our study was to determine the prognostic value of CURB-65, Sequential Organ Failure Assessment (SOFA), pneumonia severity index (PSI), MuLBSTA, and Acute Physiology and Chronic Health Evaluation (APACHE) II upon admission in patients with coronavirus disease 2019 (COVID-19, as well as the prediction cut-off value for death regarding these parameters. Methods: This observational retrospective study was performed in COVID-19 triage in Peymaniyeh hospital in Jahrom in 2021. In order to calculate SOFA, APACHE II, PSI, MuLBSTA, and CURB-65, data were collected from patients who were selected by available sampling method from PCR-confirmed COVID-19 patients. Thirty-day mortality was assessed as the primary outcome. ROC analysis was conducted using the STATA software to evaluate the prognostic value of the scoring systems. DeLong test was utilized to compare AUC of scores using a web based tool. Results:Ninety-two patients were included in this study with the mean age of 51.02±17.81 years (male to female ratio was 1:1). SOFA had an AUC of 0.656 (P=0.130), but other indices had statistically significant values of AUC. Based on the comparison of the AUCs, SOFA was the worst scoring system in COVID-19 as it had significantly lower AUC than PSI and APACHE II (P<0.05); while its comparison with MULBSTA and CURB65 was not statistically significant (P>0.05). Conclusion: It seems that APACHE II and PSI are the best prognostic factors in our study with no statistical difference compared together (P>0.05). The sensitivity of APACHE II and PSI was 0.857 with the specificity of 0.927 and 0.976, respectively. The optimal cut-off point was 13 and 50 for APACHE II and PSI, respectively.http://www.jept.ir/article_92106_145252e22e6e991c14a27aa3448252a3.pdfcovid-19sars-cov-2mortalityapache ii |
| spellingShingle | Navid Kalani Masoud Tavasolian Khaterh Dehghani Seyed Reza Mousavi Erfan Ghanbarzadeh Masihallah Shaker Elahe Rahmanian Poorya Aryanpoor Naser Hatami Zhila Rahmanian Samaneh Abiri Prognostic value of intensive care scores concerning the prediction of 30-day mortality in COVID-19 Journal of Emergency Practice and Trauma covid-19 sars-cov-2 mortality apache ii |
| title | Prognostic value of intensive care scores concerning the prediction of 30-day mortality in COVID-19 |
| title_full | Prognostic value of intensive care scores concerning the prediction of 30-day mortality in COVID-19 |
| title_fullStr | Prognostic value of intensive care scores concerning the prediction of 30-day mortality in COVID-19 |
| title_full_unstemmed | Prognostic value of intensive care scores concerning the prediction of 30-day mortality in COVID-19 |
| title_short | Prognostic value of intensive care scores concerning the prediction of 30-day mortality in COVID-19 |
| title_sort | prognostic value of intensive care scores concerning the prediction of 30 day mortality in covid 19 |
| topic | covid-19 sars-cov-2 mortality apache ii |
| url | http://www.jept.ir/article_92106_145252e22e6e991c14a27aa3448252a3.pdf |
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