Prognostic Scoring System for Mortality of Hospitalized COVID-19 Patients in Resource-Limited Settings: A Multicenter Study from COVID-19 Referral Hospitals.
Siti Rizny F Saldi, Eka Dian Safitri, Siti Setiati, Respati Wulansari Ranakusuma, Jessica Marsigit, Muhammad Khifzhon Azwar, Puji Astuti, Cut Yulia Indah Sari, Rahmi Istanti, Mira Yulianti, Cleopas Martin Rumende, Evy Yunihastuti, Adityo Susilo, Kuntjoro Harimurti, Lies Dina Liastuti, Trimartani Trimartani, Ratna Dwi Restuti, Ari Fahrial Syam
BACKGROUND: Many studies identified the risk factors and prognostic factors related to in-hospital COVID-19 mortality using sophisticated laboratory tests. Cost and the availability of supporting blood tests may be problematic in resource-limited settings. This multicenter cohort study was conducted to assess the factors associated with mortality of COVID-19 patients aged 18 years and older, based on history taking, physical examination, and simple blood tests to be used in resource-limited settings. METHODS: The study was conducted between July 2020 and January 2021 in five COVID-19 referral hospitals in Indonesia. Among 1048 confirmed cases of COVID-19, 160 (15%) died during hospitalization. RESULTS: Multivariate analysis showed eight predictors of in-hospital mortality, namely increased age, chronic kidney disease, chronic obstructive pulmonary disease, fatigue, dyspnea, altered mental status, neutrophil-lymphocyte ratio (NLR) ≥ 5.8, and severe-critical condition. This scoring system had an Area-under-the-curve (AUC) of 84.7%. With cut-off score of 6, the sensitivity was 76.3% and the specificity was 78.2%. CONCLUSION: The result of this practical prognostic scoring system may be a guide to decision making of physicians and help in the education of family members related to the possible outcome.
Sitasi
Saldi, S. R. F., Safitri, E. D., Setiati, S., Ranakusuma, R. W., Marsigit, J., Azwar, M. K., Astuti, P., Sari, C. Y. I., Istanti, R., Yulianti, M., Rumende, C. M., Yunihastuti, E., Susilo, A., Harimurti, K., Liastuti, L. D., Trimartani, T., Restuti, R. D., Syam, A. F. (2021). Prognostic Scoring System for Mortality of Hospitalized COVID-19 Patients in Resource-Limited Settings: A Multicenter Study from COVID-19 Referral Hospitals.. *PubMed*. https://doaj.org/article/db27d23979b449b2ba286ff534879f74
New England Journal of Medicine · Massachusetts Medical Society
ResumenFactores pronsticos de mortalidad intrahospitalaria en pacientes ancianos con infeccin por COVID 19 ingresados a un hospital de tercer nivel en Bogot, ColombiaEl presente estudio tiene como objetivo establecer los factores pronsticos asociados al desarrollo de muerte intrahospitalaria en pacientes adultos mayores de 65 aos con infeccin por SARS-CoV2/COVID -19 confirmado en el Hospital Universitario Nacional de Colombia.Mtodos: Este es un estudio observacional analtico.Se evaluaron pacientes adultos mayores de 65 aos con diagnstico de infeccin por SARS-CoV2/COVID-19 confirmado.Los pacientes fueron
HomeCirculationVol. 142, No. 1Obesity Is a Risk Factor for Severe COVID-19 Infection Free AccessArticle CommentaryPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessArticle CommentaryPDF/EPUBObesity Is a Risk Factor for Severe COVID-19 InfectionMultiple Potential Mechanisms Naveed Sattar, Iain B. McInnes and John J.V. McMurray Naveed SattarNaveed Sattar Naveed Sattar, MD, Institute of Cardiovascular and Medical Sciences, British Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, 126 University Place, Glasgow G12 8TA, United Kingdom. Email E-mail
Sir, Coronaviruses (CoV) are a large family of viruses that cause illness ranging from the common cold to more severe diseases such as Middle East respiratory syndrome (MERS)-CoV and severe acute respiratory syndrome (SARS)-CoV1. On December 31, 2019, China informed the World Health Organization (WHO) about cases of pneumonia of unknown aetiology detected in Wuhan city, Hubei province of China. From December 31, 2019 to January 3, 2020, a total of 44 patients with pneumonia of unknown aetiology were reported