Predicting Mortality for COVID-19 Patients Admitted to an Emergency Department Using Early Warning Scores in Poland

被引：1

作者：

Rzonca, Patryk ^{[1
]}

Butkiewicz, Slawomir ^{[2
]}

Dobosz, Paula ^{[3
]}

Zaczynski, Artur ^{[4
]}

Podgorski, Marcin ^{[5
]}

Galazkowski, Robert ^{[5
]}

Wierzba, Waldemar ^{[6
]}

Zycinska, Katarzyna ^{[7
]}

机构：

[1] Med Univ Warsaw, Fac Hlth Sci, Dept Human Anat, PL-02091 Warsaw, Poland

[2] Minist Interior & Adm, Emergency Dept, Natl Inst Med, PL-02507 Warsaw, Poland

[3] Univ Warsaw, Inst Genet & Biotechnol, Fac Biol, PL-00927 Warsaw, Poland

[4] Minist Interior & Adm, Clin Dept Neurosurg, Natl Inst Med, PL-02507 Warsaw, Poland

[5] Med Univ Warsaw, Fac Hlth Sci, Dept Emergency Med Serv, PL-02091 Warsaw, Poland

[6] Univ Humanities & Econ, Satellite Campus Warsaw, PL-90212 Lodz, Poland

[7] Minist Interior & Adm, Dept Rheumatol Syst Connect Tissue Dis & Rare Dis, Natl Inst Med, PL-02507 Warsaw, Poland

来源：

HEALTHCARE | 2024年 / 12卷 / 06期

关键词：

COVID-19; mortality; early warning score; emergency department; outcome; HOSPITALIZED-PATIENTS; MEDICINE SCORE; SYSTEM; WUHAN; RISK;

D O I：

10.3390/healthcare12060687

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

COVID-19 disease is characterised by a wide range of symptoms that in most cases resemble flu or cold. Early detection of infections, monitoring of patients' conditions, and identification of patients with worsening symptoms became crucial during the peak of pandemic. The aim of this study was to assess and compare the performance of common early warning scores at the time of admission to an emergency department in predicting in-hospital mortality in patients with COVID-19. The study was based on a retrospective analysis of patients with SARS-CoV-2 infection admitted to an emergency department between March 2020 and April 2022. The prognostic value of early warning scores in predicting in-hospital mortality was assessed using the receiver operating characteristic (ROC) curve. Patients' median age was 59 years, and 52.33% were male. Among all the EWS we assessed, REMS had the highest overall accuracy (AUC 0.84 (0.83-0.85)) and the highest NPV (97.4%). REMS was the most accurate scoring system, characterised by the highest discriminative power and negative predictive value compared to the other analysed scoring systems. Incorporating these tools into clinical practice in a hospital emergency department could provide more effective assessment of mortality and, consequently, avoid delayed medical assistance.

引用

页数：12