Predictive performance of SOFA & qSOFA for in-hospital mortality in patients with severe novel coronavirus disease: Correspondence
| العنوان: | Predictive performance of SOFA & qSOFA for in-hospital mortality in patients with severe novel coronavirus disease: Correspondence |
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| المؤلفون: | Wang, Dominic Xiang, Wang, Michael Ke, Rochwerg, Bram, Burns, Karen E.A. |
| المصدر: | The American Journal of Emergency Medicine |
| بيانات النشر: | Published by Elsevier Inc., 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, Organ Dysfunction Scores, SARS-CoV-2, Age Factors, COVID-19, Comorbidity, Middle Aged, Prognosis, Article, Critical care, ROC Curve, Predictive Value of Tests, Likelihood functions, Humans, Female, Hospital Mortality, Emergency Service, Hospital, Pandemics, Aged, Retrospective Studies |
| الوصف: | The assessment of illness severity at admission can contribute to decreased mortality in patients with the coronavirus disease (COVID-19). This study was conducted to evaluate the effectiveness of the Sequential Organ Failure Assessment (SOFA) and Quick Sequential Organ Failure Assessment (qSOFA) scoring systems at admission for the prediction of mortality risk in COVID-19 patients.We included 140 critically ill COVID-19 patients. Data on demographics, clinical characteristics, and laboratory findings at admission were used to calculate SOFA and qSOFA against the in-hospital outcomes (survival or death) that were ascertained from the medical records. The predictive accuracy of both scoring systems was evaluated by the receiver operating characteristic (ROC) curve analysis.The area under the ROC curve for SOFA in predicting mortality was 0.890 (95% CI: 0.826-0.955), which was higher than that of qSOFA (0.742, 95% CI 0.657-0.816). An optimal cutoff of ≥3 for SOFA had sensitivity, specificity, positive predictive value, and negative predictive value of 90.00%, 83.18%, 50.00%, and 97.80%, respectively.This novel report indicates that SOFA could function as an effective adjunctive risk-stratification tool at admission for critical COVID-19 patients. The performance of qSOFA is accepted but inferior to that of SOFA. |
| اللغة: | English |
| تدمد: | 1532-8171 0735-6757 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=pmid________::f1f13b3d109773e63d55eef294e5b405Test http://europepmc.org/articles/PMC7939992Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.pmid..........f1f13b3d109773e63d55eef294e5b405 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15328171 07356757 |
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