Performance of the quick COVID-19 severity index and the Brescia-COVID respiratory severity scale in hospitalized patients with COVID-19 in a community hospital setting.

Autor:	Rodriguez-Nava G; Department of Internal Medicine, AMITA Health Saint Francis Hospital, Evanston, Illinois, USA. Electronic address: Guillermo.RodriguezNava@amitahealth.org., Yanez-Bello MA; Department of Internal Medicine, AMITA Health Saint Francis Hospital, Evanston, Illinois, USA., Trelles-Garcia DP; Department of Internal Medicine, AMITA Health Saint Francis Hospital, Evanston, Illinois, USA., Chung CW; Department of Internal Medicine, AMITA Health Saint Francis Hospital, Evanston, Illinois, USA., Friedman HJ; Critical Care Units, AMITA Health Saint Francis Hospital, Evanston, Illinois, USA; University of Illinois College of Medicine, Chicago, Illinois, USA., Hines DW; Department of Infectious Diseases and Infection Control, AMITA Health Saint Francis Hospital, Evanston, Illinois, USA; Metro Infectious Disease Consultants, LLC, Burr Ridge, Illinois, USA.
Jazyk:	angličtina
Zdroj:	International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases [Int J Infect Dis] 2021 Jan; Vol. 102, pp. 571-576. Date of Electronic Publication: 2020 Nov 09.
DOI:	10.1016/j.ijid.2020.11.003
Abstrakt:	Objective: To evaluate the performance of the Quick COVID-19 Severity Index (qCSI) and the Brescia-COVID Respiratory Severity Scale (BCRSS) in predicting intensive care unit (ICU) admissions and in-hospital mortality in patients with coronavirus disease 2019 (COVID-19) pneumonia. Methods: This was a retrospective cohort study of 313 consecutive hospitalized adult patients (18 years or older) with confirmed COVID-19. The area under the receiver operating characteristic curve (AUC) was used to assess the discriminatory power of the qCSI score and BCRSS prediction rule compared to the CURB-65 score for predicting mortality and intensive care unit admission. Results: The overall in-hospital fatality rate was 32.3%, and the ICU admission rate was 31.3%. The CURB-65 score had the highest numerical AUC to predict in-hospital mortality (AUC 0.781) compared to the qCSI score (AUC 0.711) and the BCRSS prediction rule (AUC 0.663). For ICU admission, the qCSI score had the highest numerical AUC (AUC 0.761) compared to the BCRSS prediction rule (AUC 0.735) and the CURB-65 score (AUC 0.629). Conclusions: The CURB-65 and qCSI scoring systems showed a good performance for predicting in-hospital mortality. The qCSI score and the BCRSS prediction rule showed a good performance for predicting ICU admission. (Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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