Cargando…

The new combination of oxygen saturation with age shock index predicts the outcome of COVID-19 pneumonia

INTRODUCTION: Emergency departments around the world have been struggling to deal with patients with COVID-19 and presumed COVID-19. Triaging patients who need further medical support is the key matter to emergency physicians as the delay of proper treatment may worsen the results. The aim of this s...

Descripción completa

Detalles Bibliográficos
Autores principales: Oh, Sangyeop, Lee, Kyoungmi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10576920/
https://www.ncbi.nlm.nih.gov/pubmed/37846368
http://dx.doi.org/10.1177/20503121231203683
_version_ 1785121219127803904
author Oh, Sangyeop
Lee, Kyoungmi
author_facet Oh, Sangyeop
Lee, Kyoungmi
author_sort Oh, Sangyeop
collection PubMed
description INTRODUCTION: Emergency departments around the world have been struggling to deal with patients with COVID-19 and presumed COVID-19. Triaging patients who need further medical support is the key matter to emergency physicians as the delay of proper treatment may worsen the results. The aim of this study was to validate the ability of age shock index and hypoxia-age-shock index at the time of presentation to the emergency department to predict case fatality in patients with COVID-19 pneumonia. METHODS: We only included patients who had COVID-19-associated pneumonia who needed in-hospital treatment. The vital signs and oxygen saturation used in the study were collected, especially from the triage sector, before patients were given supplemental oxygen. RESULTS: A total of 241 patients enrolled in the study. The case fatality rate was 27%. The median age of the study samples was 78 (66–86) years with 133 male and 108 female patients. Hypoxia-age-shock index showed the best performance in analysis (odds ratio 15.1, 95% confidence interval: 5.1–44.4; adjusted odds ratio 8.6, 95% confidence interval: 2.8–26.8). CONCLUSION: The hypoxia-age-shock index was a strong predictor for in-hospital mortality of COVID-19 pneumonia. Furthermore, when it was compared with age shock index, hypoxia-age-shock index showed better performance in predicting fatality of the disease.
format Online
Article
Text
id pubmed-10576920
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-105769202023-10-16 The new combination of oxygen saturation with age shock index predicts the outcome of COVID-19 pneumonia Oh, Sangyeop Lee, Kyoungmi SAGE Open Med Original Article INTRODUCTION: Emergency departments around the world have been struggling to deal with patients with COVID-19 and presumed COVID-19. Triaging patients who need further medical support is the key matter to emergency physicians as the delay of proper treatment may worsen the results. The aim of this study was to validate the ability of age shock index and hypoxia-age-shock index at the time of presentation to the emergency department to predict case fatality in patients with COVID-19 pneumonia. METHODS: We only included patients who had COVID-19-associated pneumonia who needed in-hospital treatment. The vital signs and oxygen saturation used in the study were collected, especially from the triage sector, before patients were given supplemental oxygen. RESULTS: A total of 241 patients enrolled in the study. The case fatality rate was 27%. The median age of the study samples was 78 (66–86) years with 133 male and 108 female patients. Hypoxia-age-shock index showed the best performance in analysis (odds ratio 15.1, 95% confidence interval: 5.1–44.4; adjusted odds ratio 8.6, 95% confidence interval: 2.8–26.8). CONCLUSION: The hypoxia-age-shock index was a strong predictor for in-hospital mortality of COVID-19 pneumonia. Furthermore, when it was compared with age shock index, hypoxia-age-shock index showed better performance in predicting fatality of the disease. SAGE Publications 2023-10-14 /pmc/articles/PMC10576920/ /pubmed/37846368 http://dx.doi.org/10.1177/20503121231203683 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Article
Oh, Sangyeop
Lee, Kyoungmi
The new combination of oxygen saturation with age shock index predicts the outcome of COVID-19 pneumonia
title The new combination of oxygen saturation with age shock index predicts the outcome of COVID-19 pneumonia
title_full The new combination of oxygen saturation with age shock index predicts the outcome of COVID-19 pneumonia
title_fullStr The new combination of oxygen saturation with age shock index predicts the outcome of COVID-19 pneumonia
title_full_unstemmed The new combination of oxygen saturation with age shock index predicts the outcome of COVID-19 pneumonia
title_short The new combination of oxygen saturation with age shock index predicts the outcome of COVID-19 pneumonia
title_sort new combination of oxygen saturation with age shock index predicts the outcome of covid-19 pneumonia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10576920/
https://www.ncbi.nlm.nih.gov/pubmed/37846368
http://dx.doi.org/10.1177/20503121231203683
work_keys_str_mv AT ohsangyeop thenewcombinationofoxygensaturationwithageshockindexpredictstheoutcomeofcovid19pneumonia
AT leekyoungmi thenewcombinationofoxygensaturationwithageshockindexpredictstheoutcomeofcovid19pneumonia
AT ohsangyeop newcombinationofoxygensaturationwithageshockindexpredictstheoutcomeofcovid19pneumonia
AT leekyoungmi newcombinationofoxygensaturationwithageshockindexpredictstheoutcomeofcovid19pneumonia