Current best evidence for clinical care (more info)
OBJECTIVE: This study compared the prognostic performances of the Brescia-COVID Respiratory Severity Scale (BCRSS) and the Quick COVID-19 Severity Index (qCSI) scores in hospitalized patients diagnosed with COVID-19.
METHODS: The data of all adult patients (over 18 y of age) who were admitted into a state hospital with confirmed COVID-19 between May 1, 2020, and October 31, 2020, were retrospectively examined. The area under the receiver operating characteristic (ROC) curve, known as the area under the curve (AUC), was used to assess the BCRSS prediction rule and the qCSI score to assess the discriminatory power in predicting in-hospital mortality and intensive care unit (ICU) admission.
RESULTS: There were 341 patients included in this study. The mean age of the patients was 58.2 ± 17.2, of which 165 were men and 176 were women, and 61.3% of patients had at least 1 comorbidity. The most common comorbidity was hypertension. The predictive power scores of BCRSS and qCSI were found as very good in terms of in-hospital mortality (AUC 0.804 and 0.847, respectively) and likewise in terms of ICU admission (AUC 0.842 and 0.851, respectively).
CONCLUSIONS: Both BCRSS and qCSI scoring systems were found to be successful in predicting in-hospital mortality and ICU admission in our patient population.
| Discipline / Specialty Area | Score |
|---|---|
| Hospital Doctor/Hospitalists | |
| Internal Medicine | |
| Infectious Disease | |
There are now several models for predicting need for ICU admission, and predicting death, among inpatients with COVID-19. The aim of this single centre study of 341 consecutive patients (although with 106 exclusions) admitted with COVID-19 to a Turkish Hospital was to externally validate two prediction models that included somewhat different parameters of respiratory distress (neither included age or comorbidity). Inpatient mortality was 11.4% and ICU admission rate 26.7%. Its encouraging that both predictors were equally effective in a health system different from where they were devised (C-statistics were >0.8 for death and for ICU admission).