S1133 MELD, MELD-Na, and MELD-Albumin Scores as Predictors of Mortality in Patients With SARS-CoV-2: An Uncanny Relationship During Troubling Times

Autor: Nakeya Dewaswala, Karolina N. Dziadkowiec, K. De Almeida, Jesus Pino, Ahmed Abdallah, Larnelle N. Simms, B. Al Abbasi, Samar Aboulenain, Laura Suzanne K. Suarez, K. Gupta, Peter Stawinski, Fergie Ramos
Rok vydání: 2020
Předmět:
Zdroj: American Journal of Gastroenterology. 115:S569-S569
ISSN: 1572-0241
0002-9270
DOI: 10.14309/01.ajg.0000706580.88083.e7
Popis: INTRODUCTION: Coronavirus disease 2019 (SARS-CoV-2) is an ongoing outbreak, capable of causing severe acute respiratory disease Patients diagnosed with SARS-CoV-2 have significant morbidity and mortality The model for end-stage liver disease (MELD) score, MELD-Na and MELD-Albumin scores are used to predict mortality in patients with liver disease METHODS: This is a single center retrospective cohort study of patients diagnosed with 2019 Novel Coronavirus (SARS-CoV-2) between March of 2020 and May of 2020 The primary outcome includes all cause in-hospital mortality Our study aimed to validate the utility of the various scores in predicting mortality in patients diagnosed with SARS-CoV-2 RESULTS: MELD, MELD-Na and MELD-Albumin was evaluated in a cohort of 71 patients The analysis included 31/71 (43 66%) men with a mean age of 66±16 years The median MELD, MELD-Na and MELD-Albumin scores were 28 8, 27 9 and 30 2 respectively A cutoff value of 30 was assigned to stratify patients into low and high groups Mortality rates for patients with a low MELD, MELD-Na and MELDAlbumin score (, 30) was 20 45%, 18 6% and 15 15% respectively Mortality rates for patients with a high MELD, MELD-Na and MELD-Albumin score (>30) was 45%, 47 62% and 41 94% respectively All three scores can be used to predict mortality in patients who developed PCR-positive SARS-CoV-2 CONCLUSION: MELD, MELD-Na and MELD-Albumin are valid prognostic scores that can be used as good predictors of mortality in patients with PCR-confirmed SARS-CoV-2 MELD-Albumin appears to have the highest predictive potential (Table Presented)
Databáze: OpenAIRE