The prognostic value of the Barthel Index for mortality in patients with COVID-19: A cross-sectional study
ObjectiveThis study aimed to analyze the association between the activity of daily living (ADL), coronavirus disease (COVID-19), and the value of the Barthel Index in predicting the prognosis of patients.MethodsThis study included 398 patients with COVID-19, whose ADL at admission to hospital were a...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.978237/full |
| _version_ | 1797944923481178112 |
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| author | Erchuan Wang Ao Liu Zixuan Wang Xiaoli Shang Lingling Zhang Yan Jin Yanling Ma Lei Zhang Tao Bai Jun Song Xiaohua Hou |
| author_facet | Erchuan Wang Ao Liu Zixuan Wang Xiaoli Shang Lingling Zhang Yan Jin Yanling Ma Lei Zhang Tao Bai Jun Song Xiaohua Hou |
| author_sort | Erchuan Wang |
| collection | DOAJ |
| description | ObjectiveThis study aimed to analyze the association between the activity of daily living (ADL), coronavirus disease (COVID-19), and the value of the Barthel Index in predicting the prognosis of patients.MethodsThis study included 398 patients with COVID-19, whose ADL at admission to hospital were assessed with the Barthel Index. The relationship between the index and the mortality risk of the patients was analyzed. Several regression models and a decision tree were established to evaluate the prognostic value of the index in COVID-19 patients.ResultsThe Barthel Index scores of deceased patients were significantly lower than that of discharged patients (median: 65 vs. 90, P < 0.001), and its decrease indicated an increased risk of mortality in patients (P < 0.001). After adjusting models for age, gender, temperature, pulse, respiratory rate, mean arterial pressure, oxygen saturation, etc., the Barthel Index could still independently predict prognosis (OR = 0.809; 95% CI: 0.750–0.872). The decision tree showed that patients with a Barthel Index of below 70 had a higher mortality rate (33.3–40.0%), while those above 90 were usually discharged (mortality: 2.7–7.2%).ConclusionThe Barthel Index is of prognostic value for mortality in COVID-19 patients. According to their Barthel Index, COVID-19 patients can be divided into emergency, observation, and normal groups (0–70; 70–90; 90–100), with different treatment strategies. |
| first_indexed | 2024-04-10T20:47:16Z |
| format | Article |
| id | doaj.art-b8b1780659484bc68db47ae49ac1e1cf |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T20:47:16Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-b8b1780659484bc68db47ae49ac1e1cf2023-01-24T07:24:47ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-01-011010.3389/fpubh.2022.978237978237The prognostic value of the Barthel Index for mortality in patients with COVID-19: A cross-sectional studyErchuan Wang0Ao Liu1Zixuan Wang2Xiaoli Shang3Lingling Zhang4Yan Jin5Yanling Ma6Lei Zhang7Tao Bai8Jun Song9Xiaohua Hou10Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDivision of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDivision of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDivision of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDivision of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDivision of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDivision of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDivision of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDivision of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDivision of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDivision of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaObjectiveThis study aimed to analyze the association between the activity of daily living (ADL), coronavirus disease (COVID-19), and the value of the Barthel Index in predicting the prognosis of patients.MethodsThis study included 398 patients with COVID-19, whose ADL at admission to hospital were assessed with the Barthel Index. The relationship between the index and the mortality risk of the patients was analyzed. Several regression models and a decision tree were established to evaluate the prognostic value of the index in COVID-19 patients.ResultsThe Barthel Index scores of deceased patients were significantly lower than that of discharged patients (median: 65 vs. 90, P < 0.001), and its decrease indicated an increased risk of mortality in patients (P < 0.001). After adjusting models for age, gender, temperature, pulse, respiratory rate, mean arterial pressure, oxygen saturation, etc., the Barthel Index could still independently predict prognosis (OR = 0.809; 95% CI: 0.750–0.872). The decision tree showed that patients with a Barthel Index of below 70 had a higher mortality rate (33.3–40.0%), while those above 90 were usually discharged (mortality: 2.7–7.2%).ConclusionThe Barthel Index is of prognostic value for mortality in COVID-19 patients. According to their Barthel Index, COVID-19 patients can be divided into emergency, observation, and normal groups (0–70; 70–90; 90–100), with different treatment strategies.https://www.frontiersin.org/articles/10.3389/fpubh.2022.978237/fullCOVID-19Barthel Indexprognosisactivities of daily livingdecision tree |
| spellingShingle | Erchuan Wang Ao Liu Zixuan Wang Xiaoli Shang Lingling Zhang Yan Jin Yanling Ma Lei Zhang Tao Bai Jun Song Xiaohua Hou The prognostic value of the Barthel Index for mortality in patients with COVID-19: A cross-sectional study Frontiers in Public Health COVID-19 Barthel Index prognosis activities of daily living decision tree |
| title | The prognostic value of the Barthel Index for mortality in patients with COVID-19: A cross-sectional study |
| title_full | The prognostic value of the Barthel Index for mortality in patients with COVID-19: A cross-sectional study |
| title_fullStr | The prognostic value of the Barthel Index for mortality in patients with COVID-19: A cross-sectional study |
| title_full_unstemmed | The prognostic value of the Barthel Index for mortality in patients with COVID-19: A cross-sectional study |
| title_short | The prognostic value of the Barthel Index for mortality in patients with COVID-19: A cross-sectional study |
| title_sort | prognostic value of the barthel index for mortality in patients with covid 19 a cross sectional study |
| topic | COVID-19 Barthel Index prognosis activities of daily living decision tree |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.978237/full |
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