A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score
Introduction. At the very beginning of the Corona virus epidemic there was not enough data on whether hemodialysis patients have a higher risk for Corona virus infection and which factors may affect the severity of clinical picture. Objective. The aim of the study was to determine the significance o...
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| Format: | Article |
| Language: | English |
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Medicinski fakultet Priština, Društvo lekara Kosova i Metohije Srpskog lekarskog društva
2021-01-01
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| Series: | Praxis Medica |
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| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/0350-8773/2021/0350-87732101001S.pdf |
| _version_ | 1818995809868316672 |
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| author | Stolić Radojica V. Bukumirić Dragica Jovanović Milena Z. Nikolić Tomislav S. Labudović Tatjana Mitrović Vekoslav Bulatović Kristina M. Sovtić Saša Miljković Dušica Balović Aleksandra D. Krivcević Roksanda N. Jovanović Sanja M. |
| author_facet | Stolić Radojica V. Bukumirić Dragica Jovanović Milena Z. Nikolić Tomislav S. Labudović Tatjana Mitrović Vekoslav Bulatović Kristina M. Sovtić Saša Miljković Dušica Balović Aleksandra D. Krivcević Roksanda N. Jovanović Sanja M. |
| author_sort | Stolić Radojica V. |
| collection | DOAJ |
| description | Introduction. At the very beginning of the Corona virus epidemic there was not enough data on whether hemodialysis patients have a higher risk for Corona virus infection and which factors may affect the severity of clinical picture. Objective. The aim of the study was to determine the significance of the Modified Early Warning Assessment (MEWS) score for the assessment of coronavirus disease exacerbation. Methods. The research was conducted in COVID dialysis, as a retrospective, descriptive-analytical study, at the University Clinical Center Kragujevac, Serbia, which was organized ad-hoc for treatment of SARS-Cov-2 infection positive patients, which are transfered from Center for Hemodialysis "Ćuprija". They were evaluated routine laboratory findings, demographic and gender structure, arterial blood pressure, presence of comorbidities and residual diuresis, duration of dialysis, radiological evaluation of lungs, determination of MEWS score were the parameters that were monitored. The results were monitored on admission and and in the end of treatment. Results. A statistically significant difference was registered in serum lactate dehydrogenase concentration (486 ± 107.62 vs. 423.7 ± 92.4 U/L); p = 0.022 and absolute monocyte count (0.46 ± 0.15 vs. 0.67 ± 0.34 x 103; p = 0.008). The significant increase in MEWS score was also found (b = 0.017; p = 0.030). There was a positive correlation between increase of MEWS score and age (b = 0.027; p = 0.002) and arterial hypertension as a concomitant comorbidity (b = 0.700; p = 0.033). Conclusion. In the observed period, there was a significant increase in the degree of MEWS score of dialysis patients who had SARS-Cov-2 infection. |
| first_indexed | 2024-12-20T21:19:45Z |
| format | Article |
| id | doaj.art-cf0fe28d6c58459291ac36a019277079 |
| institution | Directory Open Access Journal |
| issn | 0350-8773 2560-3310 |
| language | English |
| last_indexed | 2024-12-20T21:19:45Z |
| publishDate | 2021-01-01 |
| publisher | Medicinski fakultet Priština, Društvo lekara Kosova i Metohije Srpskog lekarskog društva |
| record_format | Article |
| series | Praxis Medica |
| spelling | doaj.art-cf0fe28d6c58459291ac36a0192770792022-12-21T19:26:19ZengMedicinski fakultet Priština, Društvo lekara Kosova i Metohije Srpskog lekarskog društvaPraxis Medica0350-87732560-33102021-01-01501-21610.5937/pramed2102001S0350-87732101001SA new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning scoreStolić Radojica V.0https://orcid.org/0000-0002-6215-9258Bukumirić Dragica1Jovanović Milena Z.2Nikolić Tomislav S.3Labudović Tatjana4Mitrović Vekoslav5Bulatović Kristina M.6Sovtić Saša7Miljković Dušica8Balović Aleksandra D.9Krivcević Roksanda N.10Jovanović Sanja M.11University of Kragujevac, Faculty of Medical Sciences, Department of Internal Medicine, Kragujevac, SerbiaPrimary Health Care Center, Department of Planning, Analysing and Statistics, Pancevo, SerbiaClinical Center Kragujevac, Center for Nephrology and Dialysis, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Department of Internal Medicine, Kragujevac, SerbiaClinical Center Kragujevac, Center for Nephrology and Dialysis, Kragujevac, SerbiaUniversity of East Sarajevo, Faculty of Medicine Foca, Foca, Republika Srpska, Bosnia and HerzegovinaUniversity of Pristina/K. Mitrovica, Medical Faculty, Pristina/K. Mitrovica, SerbiaUniversity of Pristina/K. Mitrovica, Medical Faculty, Pristina/K. Mitrovica, SerbiaUniversity of Pristina/K. Mitrovica, Medical Faculty, Pristina/K. Mitrovica, SerbiaUniversity of Pristina/K. Mitrovica, Medical Faculty, Pristina/K. Mitrovica, SerbiaUniversity of Pristina/K. Mitrovica, Medical Faculty, Pristina/K. Mitrovica, SerbiaUniversity of Pristina/K. Mitrovica, Medical Faculty, Pristina/K. Mitrovica, SerbiaIntroduction. At the very beginning of the Corona virus epidemic there was not enough data on whether hemodialysis patients have a higher risk for Corona virus infection and which factors may affect the severity of clinical picture. Objective. The aim of the study was to determine the significance of the Modified Early Warning Assessment (MEWS) score for the assessment of coronavirus disease exacerbation. Methods. The research was conducted in COVID dialysis, as a retrospective, descriptive-analytical study, at the University Clinical Center Kragujevac, Serbia, which was organized ad-hoc for treatment of SARS-Cov-2 infection positive patients, which are transfered from Center for Hemodialysis "Ćuprija". They were evaluated routine laboratory findings, demographic and gender structure, arterial blood pressure, presence of comorbidities and residual diuresis, duration of dialysis, radiological evaluation of lungs, determination of MEWS score were the parameters that were monitored. The results were monitored on admission and and in the end of treatment. Results. A statistically significant difference was registered in serum lactate dehydrogenase concentration (486 ± 107.62 vs. 423.7 ± 92.4 U/L); p = 0.022 and absolute monocyte count (0.46 ± 0.15 vs. 0.67 ± 0.34 x 103; p = 0.008). The significant increase in MEWS score was also found (b = 0.017; p = 0.030). There was a positive correlation between increase of MEWS score and age (b = 0.027; p = 0.002) and arterial hypertension as a concomitant comorbidity (b = 0.700; p = 0.033). Conclusion. In the observed period, there was a significant increase in the degree of MEWS score of dialysis patients who had SARS-Cov-2 infection.https://scindeks-clanci.ceon.rs/data/pdf/0350-8773/2021/0350-87732101001S.pdfsars-cov-2 infectionhemodialysismews scorepredictorworsening |
| spellingShingle | Stolić Radojica V. Bukumirić Dragica Jovanović Milena Z. Nikolić Tomislav S. Labudović Tatjana Mitrović Vekoslav Bulatović Kristina M. Sovtić Saša Miljković Dušica Balović Aleksandra D. Krivcević Roksanda N. Jovanović Sanja M. A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score Praxis Medica sars-cov-2 infection hemodialysis mews score predictor worsening |
| title | A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score |
| title_full | A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score |
| title_fullStr | A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score |
| title_full_unstemmed | A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score |
| title_short | A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score |
| title_sort | new scoring system for covid 19 in patients on hemodialysis modified early warning score |
| topic | sars-cov-2 infection hemodialysis mews score predictor worsening |
| url | https://scindeks-clanci.ceon.rs/data/pdf/0350-8773/2021/0350-87732101001S.pdf |
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