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Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Rev+Clin+Esp 2022 ; 222 (5): 293-298 Nephropedia Template TP
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Utilidad de las escalas de sepsis para predecir el fallo respiratorio y la muerte en pacientes con COVID-19 fuera de las Unidades de Cuidados Intensivos #MMPMID33191944
Lalueza A; Lora-Tamayo J; de la Calle C; Sayas-Catalan J; Arrieta E; Maestro G; Mancheno-Losa M; Marchan-Lopez A; Diaz-Simon R; Garcia-Garcia R; Catalan M; Garcia-Reyne A; de Miguel-Campo B; Lumbreras C
Rev Clin Esp 2022[May]; 222 (5): 293-298 PMID33191944show ga
This observational retrospective study aimed to investigate the usefulness of Sequential Organ Failure Assessment (SOFA), Quick SOFA (qSOFA), National Early Warning Score (NEWS), and quick NEWS in predicting respiratory failure and death among patients with COVID-19 hospitalized outside of intensive care units (ICU). We included 237 adults hospitalized with COVID-19 who were followed-up on for one month or until death. Respiratory failure was defined as a PaO(2)/FiO(2) ratio = 200 mmHg or the need for mechanical ventilation. Respiratory failure occurred in 77 patients (32.5%), 29 patients (12%) were admitted to the ICU, and 49 patients (20.7%) died. Discrimination of respiratory failure was slightly higher in NEWS, followed by SOFA. Regarding mortality, SOFA was more accurate than the other scores. In conclusion, sepsis scores are useful for predicting respiratory failure and mortality in COVID-19 patients. A NEWS score >/= 4 was found to be the best cutoff point for predicting respiratory failure.