Clinical and Laboratory Predictors for ICU Admission among COVID-19 Infected Egyptian Patients, A multi-Center Study
| Autor: | Shimaa Elsharawy, Amany Ghazi, Ibrahim Amer, Walaa Mowafy El-Lawaty, Mohamed Samir Abd Elghafar, Marwa Salama, Nehad Hawash |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
myalgia
medicine.medical_specialty Receiver operating characteristic Isolation (health care) Coronavirus disease 2019 (COVID-19) Computer Networks and Communications business.industry Disease Icu admission Hardware and Architecture Multi center study Emergency medicine medicine medicine.symptom business Software Oxygen saturation (medicine) |
| Zdroj: | Afro-Egyptian Journal of Infectious and Endemic Diseases. :284-294 |
| ISSN: | 2090-7184 |
| DOI: | 10.21608/aeji.2021.82473.1155 |
| Popis: | Background and study aim: The incremental global spread of the SARS-CoV-2 virus imposes an enormous burden on medical health systems. We focused on determining the predictors for the COVID-19 patient's course of illness and what level of care will be actually needed at hospital admission. Patients and Methods: 170 symptomatic COVID-19 Egyptian patients were gleaned from August 2020 to January 2021, were categorized into a group that managed at home or ward admitted and a group that necessitated ICU hospitalization at Tanta University or Kafr El-sheikh University isolation hospitals. Each patient's demographics, clinical, laboratory, and radiological data were gathered and several classification strategies were applied. The variables that predicted the severity of disease and ICU admission were established via logistic regression. The area under the receiver operating characteristic curve was used to assess performance. Results: The top risk variables predicting ICU admission were blood oxygen saturation (P 4 and oxygen saturation ≤90 with an AUC of 0.850 (95% CI [0.795 – 0.905]) and 0.800 (95% CI [0.735 – 0.865]), respectively. Conclusion: Fatigue, myalgia, oxygen saturation, pulse, respiratory rates, ferritin, and C- reactive protein may prove useful for physicians to distinguish which COVID-19 patients will be required to be managed critically at hospital admission. |
| Databáze: | OpenAIRE |
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