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

Journal of the American Geriatrics Society
Marcello CovinoGEMELLI AGAINST COVID-19 Group

Abstract

Several scoring systems have been specifically developed for risk stratification in COVID-19 patients. 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. This is a single-center, retrospective observational study, conducted in the Emergency Department (ED) of an urban teaching hospital, referral center for COVID-19. 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. 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). 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 highes...Continue Reading

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Citations

Jan 12, 2021·Journal of the American Geriatrics Society·Geoffrey OdilleAlain Putot
Mar 7, 2021·Archives of Gerontology and Geriatrics·Marcello CovinoFrancesco Franceschi
Jan 12, 2021·Journal of the American Geriatrics Society·Marcello CovinoClaudio Sandroni
Jun 27, 2021·Postgraduate Medicine·Francisco Valverde-LópezEduardo Redondo-Cerezo
Jul 4, 2021·Aging Clinical and Experimental Research·Marcello CovinoFrancesco Franceschi
Jul 26, 2021·International Immunopharmacology·Dinesh JoshiIva Patel
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Aug 5, 2021·São Paulo Medical Journal = Revista Paulista De Medicina·Erdal YılmazFatih Doğanay
Aug 9, 2021·Journal of the American Medical Directors Association·Marcello CovinoFrancesco Franceschi
Jun 19, 2021·Disaster Medicine and Public Health Preparedness·Asha TyagiAshish Goel
Aug 30, 2021·International Journal of Clinical Practice·Fatih Doğanay, Rohat Ak
Nov 28, 2021·Journal of Investigative Medicine : the Official Publication of the American Federation for Clinical Research·Rehab Abd Elfattah MohamedIntessar Sultan

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Software Mentioned

4C
GRAM
ISARIC 4C
qCSI Scoring Systems
ISARIC
‐ GRAM
qCSI
COVID GRAM

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Allergy & Infectious Diseases

Allergies result from the hyperreactivity of the immune system to some environmental substance and can be life-threatening. Infectious diseases are caused by organisms including bacteria, viruses, fungi and parasites. They can be transmitted different ways, such as person-to-person. Here is the latest research on allergy and infectious diseases.

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