In-hospital mortality prediction using frailty scale and severity score in elderly patients with severe COVID-19
DC Field | Value | Language |
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dc.contributor.author | Na Yong Sub | - |
dc.contributor.author | 김진형 | - |
dc.contributor.author | Baek Moon Seong | - |
dc.contributor.author | 김원영 | - |
dc.contributor.author | 백애린 | - |
dc.contributor.author | Lee Bo young | - |
dc.contributor.author | 성길명 | - |
dc.contributor.author | 이송이 | - |
dc.date.accessioned | 2022-09-06T07:40:13Z | - |
dc.date.available | 2022-09-06T07:40:13Z | - |
dc.date.created | 2022-09-02 | - |
dc.date.issued | 2022-08 | - |
dc.identifier.issn | 2586-6052 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/21401 | - |
dc.description.abstract | Background: Elderly patients with coronavirus disease 2019 (COVID-19) have a high disease severity and mortality. However, the use of the frailty scale and severity score to predict in-hospital mortality in the elderly is not well established. Therefore, in this study, we investigated the use of these scores in COVID-19 cases in the elderly.Methods: This multicenter retrospective study included severe COVID-19 patients admitted to seven hospitals in Republic of Korea from February 2020 to February 2021. We evaluated patients’ Acute Physiology and Chronic Health Evaluation (APACHE) II score; confusion, urea nitrogen, respiratory rate, blood pressure, 65 years of age and older (CURB-65) score; modified early warning score (MEWS); Sequential Organ Failure Assessment (SOFA) score; clinical frailty scale (CFS) score; and Charlson comorbidity index (CCI). We evaluated the predictive value using receiver operating characteristic (ROC) curve analysis.Results: The study included 318 elderly patients with severe COVID-19 of whom 237 (74.5%) were survivors and 81 (25.5%) were non-survivors. The non-survivor group was older and had more comorbidities than the survivor group. The CFS, CCI, APACHE II, SOFA, CURB-65, and MEWS scores were higher in the non-survivor group than in the survivor group. When analyzed using the ROC curve, SOFA score showed the best performance in predicting the prognosis of elderly patients (area under the curve=0.766, P<0.001). CFS and SOFA scores were associated with in-hospital mortality in the multivariate analysis.Conclusions: The SOFA score is an efficient tool for assessing in-hospital mortality in elderly patients with severe COVID-19. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | 대한중환자의학회 | - |
dc.title | In-hospital mortality prediction using frailty scale and severity score in elderly patients with severe COVID-19 | - |
dc.title.alternative | In-hospital mortality prediction using frailty scale and severity score in elderly patients with severe COVID-19 | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | 백애린 | - |
dc.contributor.affiliatedAuthor | Lee Bo young | - |
dc.identifier.doi | 10.4266/acc.2022.00017 | - |
dc.identifier.scopusid | 2-s2.0-85138059217 | - |
dc.identifier.wosid | 000859662200005 | - |
dc.identifier.bibliographicCitation | Acute and Critical Care, v.37, no.3, pp.303 - 311 | - |
dc.relation.isPartOf | Acute and Critical Care | - |
dc.citation.title | Acute and Critical Care | - |
dc.citation.volume | 37 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 303 | - |
dc.citation.endPage | 311 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002870396 | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.description.journalRegisteredClass | other | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Critical Care Medicine | - |
dc.subject.keywordAuthor | COVID-19 | - |
dc.subject.keywordAuthor | critical care | - |
dc.subject.keywordAuthor | elderly | - |
dc.subject.keywordAuthor | mortality. | - |
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