Cargando…
The HACOR Score Predicts Worse in-Hospital Prognosis in Patients Hospitalized with COVID-19
Non-invasive respiratory support (NIRS) is widely used in COVID-19 patients, although high rates of NIRS failure are reported. Early detection of NIRS failure and promptly defining the need for intubation are crucial for the management of patients with acute respiratory failure (ARF). We tested the...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225644/ https://www.ncbi.nlm.nih.gov/pubmed/35743579 http://dx.doi.org/10.3390/jcm11123509 |
_version_ | 1784733665038696448 |
---|---|
author | Mannarino, Massimo Raffaele Bianconi, Vanessa Cosentini, Elena Figorilli, Filippo Natali, Costanza Cellini, Giulia Colangelo, Cecilia Giglioni, Francesco Braca, Marco Pirro, Matteo |
author_facet | Mannarino, Massimo Raffaele Bianconi, Vanessa Cosentini, Elena Figorilli, Filippo Natali, Costanza Cellini, Giulia Colangelo, Cecilia Giglioni, Francesco Braca, Marco Pirro, Matteo |
author_sort | Mannarino, Massimo Raffaele |
collection | PubMed |
description | Non-invasive respiratory support (NIRS) is widely used in COVID-19 patients, although high rates of NIRS failure are reported. Early detection of NIRS failure and promptly defining the need for intubation are crucial for the management of patients with acute respiratory failure (ARF). We tested the ability of the HACOR score¸ a scale based on clinical and laboratory parameters, to predict adverse outcomes in hospitalized COVID-19 patients with ARF. Four hundred patients were categorized according to high (>5) or low (≤5) HACOR scores measured at baseline and 1 h after the start of NIRS treatment. The association between a high HACOR score and either in-hospital death or the need for intubation was evaluated. NIRS was employed in 161 patients. Forty patients (10%) underwent intubation and 98 (25%) patients died. A baseline HACOR score > 5 was associated with the need for intubation or in-hospital death in the whole population (HR 4.3; p < 0.001), in the subgroup of patients who underwent NIRS (HR 5.2; p < 0.001) and in no-NIRS subgroup (HR 7.9; p < 0.001). In the NIRS subgroup, along with the baseline HACOR score, also 1-h HACOR score predicted NIRS failure (HR 2.6; p = 0.039). In conclusion, the HACOR score is a significant predictor of adverse clinical outcomes in patients with COVID-19-related ARF. |
format | Online Article Text |
id | pubmed-9225644 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-92256442022-06-24 The HACOR Score Predicts Worse in-Hospital Prognosis in Patients Hospitalized with COVID-19 Mannarino, Massimo Raffaele Bianconi, Vanessa Cosentini, Elena Figorilli, Filippo Natali, Costanza Cellini, Giulia Colangelo, Cecilia Giglioni, Francesco Braca, Marco Pirro, Matteo J Clin Med Article Non-invasive respiratory support (NIRS) is widely used in COVID-19 patients, although high rates of NIRS failure are reported. Early detection of NIRS failure and promptly defining the need for intubation are crucial for the management of patients with acute respiratory failure (ARF). We tested the ability of the HACOR score¸ a scale based on clinical and laboratory parameters, to predict adverse outcomes in hospitalized COVID-19 patients with ARF. Four hundred patients were categorized according to high (>5) or low (≤5) HACOR scores measured at baseline and 1 h after the start of NIRS treatment. The association between a high HACOR score and either in-hospital death or the need for intubation was evaluated. NIRS was employed in 161 patients. Forty patients (10%) underwent intubation and 98 (25%) patients died. A baseline HACOR score > 5 was associated with the need for intubation or in-hospital death in the whole population (HR 4.3; p < 0.001), in the subgroup of patients who underwent NIRS (HR 5.2; p < 0.001) and in no-NIRS subgroup (HR 7.9; p < 0.001). In the NIRS subgroup, along with the baseline HACOR score, also 1-h HACOR score predicted NIRS failure (HR 2.6; p = 0.039). In conclusion, the HACOR score is a significant predictor of adverse clinical outcomes in patients with COVID-19-related ARF. MDPI 2022-06-18 /pmc/articles/PMC9225644/ /pubmed/35743579 http://dx.doi.org/10.3390/jcm11123509 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Mannarino, Massimo Raffaele Bianconi, Vanessa Cosentini, Elena Figorilli, Filippo Natali, Costanza Cellini, Giulia Colangelo, Cecilia Giglioni, Francesco Braca, Marco Pirro, Matteo The HACOR Score Predicts Worse in-Hospital Prognosis in Patients Hospitalized with COVID-19 |
title | The HACOR Score Predicts Worse in-Hospital Prognosis in Patients Hospitalized with COVID-19 |
title_full | The HACOR Score Predicts Worse in-Hospital Prognosis in Patients Hospitalized with COVID-19 |
title_fullStr | The HACOR Score Predicts Worse in-Hospital Prognosis in Patients Hospitalized with COVID-19 |
title_full_unstemmed | The HACOR Score Predicts Worse in-Hospital Prognosis in Patients Hospitalized with COVID-19 |
title_short | The HACOR Score Predicts Worse in-Hospital Prognosis in Patients Hospitalized with COVID-19 |
title_sort | hacor score predicts worse in-hospital prognosis in patients hospitalized with covid-19 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225644/ https://www.ncbi.nlm.nih.gov/pubmed/35743579 http://dx.doi.org/10.3390/jcm11123509 |
work_keys_str_mv | AT mannarinomassimoraffaele thehacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT bianconivanessa thehacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT cosentinielena thehacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT figorillifilippo thehacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT natalicostanza thehacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT cellinigiulia thehacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT colangelocecilia thehacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT giglionifrancesco thehacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT bracamarco thehacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT pirromatteo thehacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT mannarinomassimoraffaele hacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT bianconivanessa hacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT cosentinielena hacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT figorillifilippo hacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT natalicostanza hacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT cellinigiulia hacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT colangelocecilia hacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT giglionifrancesco hacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT bracamarco hacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 AT pirromatteo hacorscorepredictsworseinhospitalprognosisinpatientshospitalizedwithcovid19 |