Please use this identifier to cite or link to this item:
https://hdl.handle.net/11499/52125
Title: | Usefulness of APACHE-II, SOFA, ISARIC/WHO 4C Mortality Score and CO-RADS for Mortality Prediction of Critically Ill Coronavirus Disease-2019 Patients |
Authors: | Sungurtekin, Hülya Sargın, Fatih Kılınç, Metin Kahramanoğlu, Mithat Akbulut, Mert Ayoğlu, Ferruh Niyazi Çalışkan, Ahmet Karaduman, Simay |
Abstract: | Objective: It was aimed to report the Acute Physiology and Chronic Health Evaluation-II (APACHE-II) score, Sequential Organ Failure Assessment (SOFA) score, Glasgow coma scale (GCS), 4C mortality score and the coronavirus disease-2019 (COVID-19) Reporting and Data System (CO- RADS) in predicting the outcome of critically ill COVID-19 patients. Materials and Methods: Patients with laboratory-confirmed COVID-19 infection or clinical and radiological confirmed COVID-19 infection who were admitted to adult intensive care unit (ICU) were included. Clinical characteristics, outcomes, APACHE-II score, SOFA score, International Severe Acute Respiratory and Emerging Infections Consortium/World Health Organization 4C mortality score and CO-RADS classification were reported at admission. Results: Two hundred seventy six patients were included in this study. The mean age was higher in non-survivor patients. The most common cause of hospitalization was respiratory failure (67%). The common co-morbidities were hypertension (51.8%), cardiac disease (43.4%) and diabetes (33.6%). Organ failure was present in 61.5% of the patients. The mean APACHE-II, SOFA, GCS and 4C mortality scores were higher in non-survivor patients. 4C mortality and SOFA scores showed higher predictive accuracy for mortality with an area under the curve 0.736 and 0.706, respectively. 4C mortality had sensitivity of 78.9% and specificity of 58.1% whereas of SOFA had a sensitivity of 78.9% and a specificity of 53.3%. Conclusion: 4C mortality and SOFA scores could be a predictors of mortality in COVID-19 patients in the ICU. |
URI: | https://hdl.handle.net/11499/52125 https://doi.org/10.4274/tybd.galenos.2022.77598 https://search.trdizin.gov.tr/yayin/detay/1185097 |
ISSN: | 2602-2974 |
Appears in Collections: | Tıp Fakültesi Koleksiyonu TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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TYBD-21-100.pdf | 383.74 kB | Adobe PDF | View/Open |
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