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Balıkesır Health Sciences Journal Pub Date : 2023-06-22 DOI:10.53424/balikesirsbd.1246611

Y. Arık, Hatice Topcu

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引用次数: 0

摘要

目的:早期识别危重病人是急诊科的关键。许多计分系统被用于它。本研究旨在确定这些评分系统对Covid - 19肺炎患者的预后价值。材料和方法:本回顾性研究于2020年3月至2020年5月进行。212名Covid - 19肺炎患者参加了这项研究。根据患者入院资料计算国家预警评分(NEWS)、修正预警评分(MEWS)和快速序事性器官衰竭评估(qSOFA)评分。采用受试者工作特征(ROC)分析确定评分的诊断价值，采用约登指数确定最佳临界值。结果:212例患者中死亡23例(10.84%)，住院34例(16%)。MEWS、NEWS和qSOFA预测< 65岁患者死亡率的AUC值分别为0.852(95%可信区间0.708 ~ 0.997)、0.882(0.741 ~ 1.000)和0.879(0.768 ~ 0.990)，≥65岁患者的AUC值分别为0.854(0.720 ~ 0.987)、0.931(0.853 ~ 1.000)、0.776(0.609 ~ 0.944)。ICU入院时MEWS、NEWS、qSOFA的AUC值

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Erken Uyarı Skorlarının Covid 19 Pnömonisinde Ölüm Oranlarını Öngörme Yeteneği

Objective: Early recognition of critical patients is crucial in emergency departments. Many scoring systems are used for it. This study aim determining the prognostic values of these scoring systems for Covid 19 pneumonia patients. Material and Method: This retrospective study was performed between March 2020 -May 2020. 212 patient who have Covid 19 pneumonia were enrolled the study. National Early Warning Score (NEWS), Modified Early Warning Score (MEWS) and quick Sequential Organ Failure Assessment (qSOFA) scores were calculated according to patients’ admission data. Receiver operating characteristic (ROC) analysis was used to determine the diagnostic values of scores and the optimum cut-off values were determined by Youden Index. Results: 23 (10.84%) of 212 patients died and 34 (16%) were admitted to ICU. The AUC values of MEWS, NEWS, and qSOFA for predicting mortality in < 65 years old were 0.852 (95% confidence interval 0.708-0.997), 0.882 (0.741-1.000) and 0.879 (0.768-0.990) and ≥65 years old 0.854(0.720-0.987), 0.931(0.853-1.000), 0.776(0.609-0.944) respectively. For ICU admission AUC values of MEWS, NEWS and qSOFA in

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Balıkesır Health Sciences Journal

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