COVID-19、危重疾病和死亡住院进展风险计算器。观察性回顾性研究。

Eduardo Nieto-Ortega, Diana Ali Macedo-Falcon, Alberto N. Peón
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引用次数: 2

摘要

COVID-19大流行在全球范围内迅速蔓延,导致全球医疗体系多次崩溃。在这种情况下,为了挽救更多的生命和优化资源利用,必须正确优先安排普通医院床位和重症监护病房床位。目前,有一些特定的在线计算器可供使用,NEWS和SOFA等预后临床评分已被重新用于评估COVID-19患者疾病进展的可能性。然而,在实践中,这些工具的预测价值一直很低。如今,关于病理标志物的知识更加先进,与上述研究发表时不同,现在人们认识到COVID-19至少有三个不同的症状阶段,每个阶段都有不同的病理生理特征。因此,我们认为结合上述知识的风险计算器可能具有较强的预测能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Calculadora de riesgo de progresión a hospitalización por COVID-19, enfermedad crítica y muerte. Estudio retrospectivo observacional.
COVID-19 pandemics has spread at a fast rate worldwide, producing multiple collapses in the healthcare system worldwide. In such setting, the correct priorization of regular hospital beds and intensive care unit beds is mandatory in order to save more lives and optimize resource usage. Currently, some specific online calculators are available, and prognostic clinical scores like NEWS and SOFA have been repurposed to evaluate potential for disease progression in COVID-19 patients. Nonetheless, the predictive value of these tools has been low in practice. Nowadays, the knowledge about pathological markers is more advanced, and unlike when the aforementioned studies were published, it is now recognized that COVID-19 has at least three different symptomatic stages, each governed by distinctive pathophysiological traits. Thus, we think that a risk calculator that incorporates the aforementioned knowledge may have a strong predictive ability.
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