Cargando…

The Effectiveness of National Early Warning Score, Quick Sequential Organ Failure Assessment, Charlson Comorbidity Index, and Elixhauser Comorbidity Index Scores in Predicting Mortality Due to COVID-19 in Elderly Patients

Introduction: As the mortality rate in coronavirus disease 2019 (COVID-19) patients older than 65 years is considerable, evaluation of in-hospital mortality is crucial. This study aimed to evaluate in-hospital mortality in COVID-19 patients older than 65 years using the National Early Warning Score...

Descripción completa

Detalles Bibliográficos
Autores principales: Akman, Canan, Bardakçı, Okan, Daş, Murat, Akdur, Gökhan, Akdur, Okhan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001189/
https://www.ncbi.nlm.nih.gov/pubmed/35464509
http://dx.doi.org/10.7759/cureus.23012
_version_ 1784685616293740544
author Akman, Canan
Bardakçı, Okan
Daş, Murat
Akdur, Gökhan
Akdur, Okhan
author_facet Akman, Canan
Bardakçı, Okan
Daş, Murat
Akdur, Gökhan
Akdur, Okhan
author_sort Akman, Canan
collection PubMed
description Introduction: As the mortality rate in coronavirus disease 2019 (COVID-19) patients older than 65 years is considerable, evaluation of in-hospital mortality is crucial. This study aimed to evaluate in-hospital mortality in COVID-19 patients older than 65 years using the National Early Warning Score (NEWS), Quick Sequential Organ Failure Assessment (q-SOFA), Charlson Comorbidity Index (CCI), and Elixhauser Comorbidity Index (ECI). Methods: This retrospective study included data from 480 patients with confirmed COVID-19 and age over 65 years who were evaluated in a university emergency department in Turkey. Data from eligible but deceased COVID-19 patients was also included. NEWS, q-SOFA, CCI, and ECI scores were retrospectively calculated. All clinical data was accessed from the information management system of the hospital, retrieved, and analyzed. Results: In-hospital mortality was seen in 169 patients (169/480). Low oxygen saturation, high C-reactive protein (CRP) and urea levels, and high q-SOFA and ECI scores helped us identify mortality in high-risk patients. A statistically significant difference was found in mortality estimation between q-SOFA and ECI (p <0.001), respectively. Conclusion: Q-SOFA and ECI can be used both easily and practically in the early diagnosis of in-hospital mortality in COVID-19 positive patients over 65 years of age admitted to the emergency department. Low oxygen saturation, high CRP and urea levels, and high q-SOFA and ECI scores are helpful in identifying high-risk patients.
format Online
Article
Text
id pubmed-9001189
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-90011892022-04-23 The Effectiveness of National Early Warning Score, Quick Sequential Organ Failure Assessment, Charlson Comorbidity Index, and Elixhauser Comorbidity Index Scores in Predicting Mortality Due to COVID-19 in Elderly Patients Akman, Canan Bardakçı, Okan Daş, Murat Akdur, Gökhan Akdur, Okhan Cureus Emergency Medicine Introduction: As the mortality rate in coronavirus disease 2019 (COVID-19) patients older than 65 years is considerable, evaluation of in-hospital mortality is crucial. This study aimed to evaluate in-hospital mortality in COVID-19 patients older than 65 years using the National Early Warning Score (NEWS), Quick Sequential Organ Failure Assessment (q-SOFA), Charlson Comorbidity Index (CCI), and Elixhauser Comorbidity Index (ECI). Methods: This retrospective study included data from 480 patients with confirmed COVID-19 and age over 65 years who were evaluated in a university emergency department in Turkey. Data from eligible but deceased COVID-19 patients was also included. NEWS, q-SOFA, CCI, and ECI scores were retrospectively calculated. All clinical data was accessed from the information management system of the hospital, retrieved, and analyzed. Results: In-hospital mortality was seen in 169 patients (169/480). Low oxygen saturation, high C-reactive protein (CRP) and urea levels, and high q-SOFA and ECI scores helped us identify mortality in high-risk patients. A statistically significant difference was found in mortality estimation between q-SOFA and ECI (p <0.001), respectively. Conclusion: Q-SOFA and ECI can be used both easily and practically in the early diagnosis of in-hospital mortality in COVID-19 positive patients over 65 years of age admitted to the emergency department. Low oxygen saturation, high CRP and urea levels, and high q-SOFA and ECI scores are helpful in identifying high-risk patients. Cureus 2022-03-09 /pmc/articles/PMC9001189/ /pubmed/35464509 http://dx.doi.org/10.7759/cureus.23012 Text en Copyright © 2022, Akman et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Akman, Canan
Bardakçı, Okan
Daş, Murat
Akdur, Gökhan
Akdur, Okhan
The Effectiveness of National Early Warning Score, Quick Sequential Organ Failure Assessment, Charlson Comorbidity Index, and Elixhauser Comorbidity Index Scores in Predicting Mortality Due to COVID-19 in Elderly Patients
title The Effectiveness of National Early Warning Score, Quick Sequential Organ Failure Assessment, Charlson Comorbidity Index, and Elixhauser Comorbidity Index Scores in Predicting Mortality Due to COVID-19 in Elderly Patients
title_full The Effectiveness of National Early Warning Score, Quick Sequential Organ Failure Assessment, Charlson Comorbidity Index, and Elixhauser Comorbidity Index Scores in Predicting Mortality Due to COVID-19 in Elderly Patients
title_fullStr The Effectiveness of National Early Warning Score, Quick Sequential Organ Failure Assessment, Charlson Comorbidity Index, and Elixhauser Comorbidity Index Scores in Predicting Mortality Due to COVID-19 in Elderly Patients
title_full_unstemmed The Effectiveness of National Early Warning Score, Quick Sequential Organ Failure Assessment, Charlson Comorbidity Index, and Elixhauser Comorbidity Index Scores in Predicting Mortality Due to COVID-19 in Elderly Patients
title_short The Effectiveness of National Early Warning Score, Quick Sequential Organ Failure Assessment, Charlson Comorbidity Index, and Elixhauser Comorbidity Index Scores in Predicting Mortality Due to COVID-19 in Elderly Patients
title_sort effectiveness of national early warning score, quick sequential organ failure assessment, charlson comorbidity index, and elixhauser comorbidity index scores in predicting mortality due to covid-19 in elderly patients
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001189/
https://www.ncbi.nlm.nih.gov/pubmed/35464509
http://dx.doi.org/10.7759/cureus.23012
work_keys_str_mv AT akmancanan theeffectivenessofnationalearlywarningscorequicksequentialorganfailureassessmentcharlsoncomorbidityindexandelixhausercomorbidityindexscoresinpredictingmortalityduetocovid19inelderlypatients
AT bardakcıokan theeffectivenessofnationalearlywarningscorequicksequentialorganfailureassessmentcharlsoncomorbidityindexandelixhausercomorbidityindexscoresinpredictingmortalityduetocovid19inelderlypatients
AT dasmurat theeffectivenessofnationalearlywarningscorequicksequentialorganfailureassessmentcharlsoncomorbidityindexandelixhausercomorbidityindexscoresinpredictingmortalityduetocovid19inelderlypatients
AT akdurgokhan theeffectivenessofnationalearlywarningscorequicksequentialorganfailureassessmentcharlsoncomorbidityindexandelixhausercomorbidityindexscoresinpredictingmortalityduetocovid19inelderlypatients
AT akdurokhan theeffectivenessofnationalearlywarningscorequicksequentialorganfailureassessmentcharlsoncomorbidityindexandelixhausercomorbidityindexscoresinpredictingmortalityduetocovid19inelderlypatients
AT akmancanan effectivenessofnationalearlywarningscorequicksequentialorganfailureassessmentcharlsoncomorbidityindexandelixhausercomorbidityindexscoresinpredictingmortalityduetocovid19inelderlypatients
AT bardakcıokan effectivenessofnationalearlywarningscorequicksequentialorganfailureassessmentcharlsoncomorbidityindexandelixhausercomorbidityindexscoresinpredictingmortalityduetocovid19inelderlypatients
AT dasmurat effectivenessofnationalearlywarningscorequicksequentialorganfailureassessmentcharlsoncomorbidityindexandelixhausercomorbidityindexscoresinpredictingmortalityduetocovid19inelderlypatients
AT akdurgokhan effectivenessofnationalearlywarningscorequicksequentialorganfailureassessmentcharlsoncomorbidityindexandelixhausercomorbidityindexscoresinpredictingmortalityduetocovid19inelderlypatients
AT akdurokhan effectivenessofnationalearlywarningscorequicksequentialorganfailureassessmentcharlsoncomorbidityindexandelixhausercomorbidityindexscoresinpredictingmortalityduetocovid19inelderlypatients