A New Scoring: Can Brescia-COVID Respiratory Severity Scale Predict Mortality in Intensive Care?
Objective: This study aims to compare the Brescia-coronavirus disease (COVID) severity scale (BCRSS) with acute physiology and chronic health evaluation II (APACHE-II) and sequential organ failure assessment (SOFA) scores in terms of predicting mortality in patients with severe coronavirus disease-2...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2021-12-01
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| Series: | Cam & Sakura Medical Journal |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=csmedj&un=CSM-07108 |
| _version_ | 1797633668671340544 |
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| author | Burcu İleri Fikri Ezgi Direnç Kulunk Güldem Turan |
| author_facet | Burcu İleri Fikri Ezgi Direnç Kulunk Güldem Turan |
| author_sort | Burcu İleri Fikri |
| collection | DOAJ |
| description | Objective: This study aims to compare the Brescia-coronavirus disease (COVID) severity scale (BCRSS) with acute physiology and chronic health evaluation II (APACHE-II) and sequential organ failure assessment (SOFA) scores in terms of predicting mortality in patients with severe coronavirus disease-2019 (COVID-19).
Material and Methods: BCRSS, SOFA, and APACHE-II scores of patients with severe COVID-19 were calculated when they were first admitted to the intensive care unit. BCRSS score calculation was repeated at the 48th hour. Further treatment, intubation rates, and the result of the intensive care process were recorded and compared.
Results and Conclusion: When the three scoring systems are evaluated as the mortality indicators, SOFA score did not provide a statistically significant difference (p>0.05), whereas the APACHE-II score was found to be significantly higher in the fatal cases (p<0.01). Furthermore,
BCRSS scores at the time of intensive care unit admission and at 48 h were significantly higher in the fatal cases (p<0.01). As much as our experience with the disease has been increasing since the beginning of the pandemic, scoring systems are still used for patient triage area, intubation decisions, and directing the medical treatment. Although BCRSS, one of the COVID-19-specific
scales, is yet to be validated, our results indicate its potential benefit for predicting IC mortality. |
| first_indexed | 2024-03-11T11:57:08Z |
| format | Article |
| id | doaj.art-be6a238cf9a045c9af116e482fa09480 |
| institution | Directory Open Access Journal |
| issn | 2791-8823 |
| language | English |
| last_indexed | 2024-03-11T11:57:08Z |
| publishDate | 2021-12-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Cam & Sakura Medical Journal |
| spelling | doaj.art-be6a238cf9a045c9af116e482fa094802023-11-08T13:08:30ZengGalenos Publishing HouseCam & Sakura Medical Journal2791-88232021-12-01139510110.4274/csmedj.galenos.2021.2021-11-3CSM-07108A New Scoring: Can Brescia-COVID Respiratory Severity Scale Predict Mortality in Intensive Care?Burcu İleri Fikri0Ezgi Direnç Kulunk1Güldem Turan2University of Health Sciences Turkey, Başakşehir Çam and Sakura City Hospital, Intensive Care Unit, İstanbul, TurkeyUniversity of Health Sciences Turkey, Başakşehir Çam and Sakura City Hospital, Clinic of Anesthesiology and Reanimation, İstanbul, TurkeyUniversity of Health Sciences Turkey, Başakşehir Çam and Sakura City Hospital, Intensive Care Unit, İstanbul, TurkeyObjective: This study aims to compare the Brescia-coronavirus disease (COVID) severity scale (BCRSS) with acute physiology and chronic health evaluation II (APACHE-II) and sequential organ failure assessment (SOFA) scores in terms of predicting mortality in patients with severe coronavirus disease-2019 (COVID-19). Material and Methods: BCRSS, SOFA, and APACHE-II scores of patients with severe COVID-19 were calculated when they were first admitted to the intensive care unit. BCRSS score calculation was repeated at the 48th hour. Further treatment, intubation rates, and the result of the intensive care process were recorded and compared. Results and Conclusion: When the three scoring systems are evaluated as the mortality indicators, SOFA score did not provide a statistically significant difference (p>0.05), whereas the APACHE-II score was found to be significantly higher in the fatal cases (p<0.01). Furthermore, BCRSS scores at the time of intensive care unit admission and at 48 h were significantly higher in the fatal cases (p<0.01). As much as our experience with the disease has been increasing since the beginning of the pandemic, scoring systems are still used for patient triage area, intubation decisions, and directing the medical treatment. Although BCRSS, one of the COVID-19-specific scales, is yet to be validated, our results indicate its potential benefit for predicting IC mortality.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=csmedj&un=CSM-07108severe covid-19bcrssapache-iisofamortalityicu |
| spellingShingle | Burcu İleri Fikri Ezgi Direnç Kulunk Güldem Turan A New Scoring: Can Brescia-COVID Respiratory Severity Scale Predict Mortality in Intensive Care? Cam & Sakura Medical Journal severe covid-19 bcrss apache-ii sofa mortality icu |
| title | A New Scoring: Can Brescia-COVID Respiratory Severity Scale Predict Mortality in Intensive Care? |
| title_full | A New Scoring: Can Brescia-COVID Respiratory Severity Scale Predict Mortality in Intensive Care? |
| title_fullStr | A New Scoring: Can Brescia-COVID Respiratory Severity Scale Predict Mortality in Intensive Care? |
| title_full_unstemmed | A New Scoring: Can Brescia-COVID Respiratory Severity Scale Predict Mortality in Intensive Care? |
| title_short | A New Scoring: Can Brescia-COVID Respiratory Severity Scale Predict Mortality in Intensive Care? |
| title_sort | new scoring can brescia covid respiratory severity scale predict mortality in intensive care |
| topic | severe covid-19 bcrss apache-ii sofa mortality icu |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=csmedj&un=CSM-07108 |
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