Predicting In-Hospital Mortality in COVID-19 Older Patients with Specifically Developed Scores

Marcello Covino, Giuseppe De Matteis, Maria Livia Burzo, Andrea Russo, Evelina Forte, Annamaria Carnicelli, Andrea Piccioni, Benedetta Simeoni, Antonio Gasbarrini, Francesco Franceschi, Claudio Sandroni, Valeria Abbate, Nicola Acampora, Giovanni Addolorato, Fabiana Agostini, Maria E Ainora, Elena Amato, Gloria Andriollo, Brigida E Annicchiarico, Mariangela AntonelliGabriele Antonucci, Christian Barillaro, Fabiana Barone, Andrea Bellieni, Andrea Benicchi, Francesca Benvenuto, Filippo Berloco, Antonio Bianchi, Stefano Bibbò, Federico Biscetti, Nicola Bonadia, Alberto Borghetti, Giulia Bosco, Silvia Bosello, Silvia Laura Bosello, Vincenzo Bove, Giulia Bramato, Vincenzo Brandi, Dario Bruno, Maria C Bungaro, Alessandro Buonomo, Angelo Calabrese, Andrea Cambieri, Giulia Cammà, Marcello Candelli, Gennaro Capalbo, Lorenzo Capaldi, Esmeralda Capristo, Luigi Carbone, Silvia Cardone, Angelo Carfì, Cristiano Caruso, Francesco Antonio Casciaro, Lucio Catalano, Roberto Cauda, Andrea L Cecchini, Lucia Cerrito, Michele Ciaburri, Rossella Cianci, Sara Cicchinelli, Arturo Ciccullo Francesca Ciciarello, Antonella Cingolani, Maria C Cipriani, Gaetano Coppola, Andrea Corsello, Federico Costante, Stefano D’Addio, Alessia D’Alessandro, Maria E. D’Alfonso, Emanuela D’Angelo, Francesca D’Aversa, Fernando Damiano, Tommaso D Cunzo, Martina D Siena, Francesco D Vito, Valeria Del Gatto, Paola Del Giacomo, Fabio Del Zompo, Davide Antonio Della Polla, Luca D Gialleonardo, Simona D Giambenedetto, Roberta D Luca, Luca D Maurizio, Alex Dusina, Alessandra Esperide, Domenico Faliero, Cinzia Falsiroli, Massimo Fantoni, Annalaura Fedele, Daniela Feliciani, Andrea Flex, Laura Franza, Barbara Funaro, Mariella Fuorlo, Domenico Fusco, Maurizio Gabrielli, Eleonora Gaetani, Antonella Gallo, Giovanni Gambassi, Matteo Garcovich, Irene Gasparrini, Silvia Gelli, Antonella Giampietro, Laura Gigante, Gabriele Giuliano, Giorgia Giuliano, Bianca Giupponi, Caterina Guidone, Amerigo Iaconelli, Angela Iaquinta, Michele Impagnatiello, Riccardo Inchingolo, Raffaele Iorio, Immacolata M Izzi, Cristina Kadhim, Daniele I. La Milia, Francesco Landi, Giovanni Landi, Rosario Landi, Massimo Leo, Antonio Liguori, Rosa Liperoti, Marco M Lizzio, Marco Maria Lizzio, Maria R. Lo Monaco, Maria Rita Lo Monaco, Pietro Locantore, Francesco Lombardi, Loris Lopetuso, Loris Riccardo Lopetuso, Valentina Loria, Angela R Losito, Angela Raffaella Losito, Noemi Macerola, Giuseppe Maiuro, Francesco Mancarella, Francesco Antonio Mancarella, Francesca Mangiola, Alberto Manno, Debora Marchesini, Giuseppe Marrone, Ilaria Martis, Anna Maria Martone, Emanuele Marzetti, Maria V Matteo, Luca Miele, Alessio Migneco, Irene Mignini, Alessandro Milani, Domenico Milardi, Massimo Montalto, Flavia Monti, Davide Moschese, Barbara P. L. Mothaenje, Celeste A Murace, Celeste Ambra Murace, Rita Murri, Marco Napoli, Elisabetta Nardella, Gerlando Natalello, Simone M Navarra, Antonio Nesci, Maria Anna Nicolazzi, Alberto Nicoletti, Tommaso Nicoletti, Rebecca Nicolò, Nicola Nicolotti, Enrico C Nista, Enrico Celestino Nista, Eugenia Nuzzo, Veronica Ojetti, Francesco C Pagano, Francesco Cosimo Pagano, Cristina Pais, Alfredo Papa, Luigi G Papparella, Mattia Paratore, Giovanni Pecorini, Simone Perniola, Erika Pero, Giuseppe Parrinello, Luca Petricca, Martina Petrucci, Chiara Picarelli, Giulia Pignataro, Raffaele Pignataro, Marco Pizzoferrato, Fabrizio Pizzolante, Roberto Pola, Caterina Policola, Maurizio Pompili, Valerio Pontecorvi, Francesca Ponziani, Francesca Romana Ponziani, Valentina Popolla, Enrica Porceddu, Angelo Porfidia, Giuseppe Privitera, Daniela Pugliese, Gabriele Pulcini, Simona Racco, Francesca Raffaelli, Gian L Rapaccini, Luca Richeldi, Emanuele Rinninella, Sara Rocchi, Stefano Romano, Federico Rosa, Laura Rossi, Raimondo Rossi, Enrica Rossini, Elisabetta Rota, Fabiana Rovedi, Gabriele Rumi, Luca Sabia, Andrea Salerno, Sara Salini, Lucia Salvatore, Lisa Salvatore, Dehara Samori, Maurizio Sanguinetti, Luca Santarelli, Paolo Santini, Angelo Santoliquido, Francesco Santopaolo, Michele C Santoro, Francesco Sardeo, Caterina Sarnari, Luisa Saviano, Tommaso Schepis, Francesca Schiavello, Giancarlo Scoppettuolo, Luisa Sestito, Carlo Settanni, Valentina Siciliano, Andrea Smargiassi, Domenico Staiti, Leonardo Stella, Eleonora Taddei, Rossella Talerico, Rosa Talerico, Enrica Tamburrini, Claudia Tarli, Pietro Tilli, Enrico Torelli, Matteo Tosato, Alberto Tosoni, Luca Tricoli, Marcello Tritto, Mario Tumbarello, Anita M Tummolo, Federico Valletta, Giulio Ventura, Lucrezia Verardi, Lorenzo Vetrone, Giuseppe Vetrugno, Elena Visconti, Raffaella Zaccaria, Lorenzo Zelano, Lorenzo Zileri Dal Verme, Giuseppe Zuccala'

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Background/Objectives: Several scoring systems have been specifically developed for risk stratification in COVID-19 patients. Design: We compared, in a cohort of confirmed COVID-19 older patients, three specifically developed scores with a previously established early warning score. Main endpoint was all causes in-hospital death. Setting: This is a single-center, retrospective observational study, conducted in the Emergency Department (ED) of an urban teaching hospital, referral center for COVID-19. Participants: We reviewed the clinical records of the confirmed COVID-19 patients aged 60 years or more consecutively admitted to our ED over a 6-week period (March 1st to April 15th, 2020). A total of 210 patients, aged between 60 and 98 years were included in the study cohort. Measurements: International Severe Acute Respiratory Infection Consortium Clinical Characterization Protocol-Coronavirus Clinical Characterization Consortium (ISARIC-4C) score, COVID-GRAM Critical Illness Risk Score (COVID-GRAM), quick COVID-19 Severity Index (qCSI), National Early Warning Score (NEWS). Results: Median age was 74 (67–82) and 133 (63.3%) were males. Globally, 42 patients (20.0%) deceased. All the score evaluated showed a fairly good predictive value with respect to in-hospital death. The ISARIC-4C score had the highest area under ROC curve (AUROC) 0.799 (0.738–0.851), followed by the COVID-GRAM 0.785 (0.723–0.838), NEWS 0.764 (0.700–0.819), and qCSI 0.749 (0.685–0.806). However, these differences were not statistical significant. Conclusion: Among the evaluated scores, the ISARIC-4C and the COVID-GRAM, calculated at ED admission, had the best performance, although the qCSI had similar efficacy by evaluating only three items. However, the NEWS, already widely validated in clinical practice, had a similar performance and could be appropriate for older patients with COVID-19.
Lingua originaleEnglish
pagine (da-a)37-43
Numero di pagine7
RivistaJournal of the American Geriatrics Society
Volume69
DOI
Stato di pubblicazionePubblicato - 2021

Keywords

  • COVID-19
  • COVID-GRAM
  • ISARIC-4C
  • NEWS
  • qCSI

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