Performance of the pandemic medical early warning score (PMEWS), simple triage scoring system (STSS) and confusion, uremia, respiratory rate, blood pressure and age 65 (CURB-65) score among patients with COVID-19 pneumonia in an emergency department triage setting: a retrospective study
Health Services [UU350] Prion, Viral, Bacterial and Fungal Pathogens of Humans [VV210] age blood pressure early treatment health care health services hospitals human diseases intensive care units medical treatment mortality pandemics patients performance pneumonia public health respiration retrospective studies scoring uraemia viral diseases man Turkey Homo Hominidae primates mammals vertebrates Chordata animals eukaryotes Developing Countries Mediterranean Region OECD Countries West Asia Asia coronavirus disease 2019 Severe acute respiratory syndrome coronavirus 2 death rate azotaemia azotemia uremia viral infections
; 2021(Sao Paulo Medical Journal)
Article
in English
| WHO COVID | ID: covidwho-1218445
ABSTRACT
BACKGROUND:
Healthcare institutions are confronted with large numbers of patient admissions during large-scale or long-term public health emergencies like pandemics. Appropriate and effective triage is needed for effective resource use.OBJECTIVES:
To evaluate the effectiveness of the Pandemic Medical Early Warning Score (PMEWS), Simple Triage Scoring System (STSS) and Confusion, Uremia, Respiratory rate, Blood pressure and age 65 years (CURB-65) score in an emergency department (ED) triage setting. DESIGN ANDSETTING:
Retrospective study in the ED of a tertiary-care university hospital in Duzce, Turkey.METHODS:
PMEWS, STSS and CURB-65 scores of patients diagnosed with COVID-19 pneumonia were calculated. Thirty-day mortality, intensive care unit (ICU) admission, mechanical ventilation (MV) need and outcomes were recorded. The predictive accuracy of the scores was assessed using receiver operating characteristic curve analysis.RESULTS:
One hundred patients with COVID-19 pneumonia were included. The 30-day mortality was 6%. PMEWS, STSS and CURB-65 showed high performance for predicting 30-day mortality (area under the curve 0.968, 0.962 and 0.942, respectively). Age > 65 years, respiratory rate > 20/minute, oxygen saturation (SpO2) < 90% and ED length of stay > 4 hours showed associations with 30-day mortality (P < 0.05).CONCLUSIONS:
CURB-65, STSS and PMEWS scores are useful for predicting mortality, ICU admission and MV need among patients diagnosed with COVID-19 pneumonia. Advanced age, increased respiratory rate, low SpO2 and prolonged ED length of stay may increase mortality. Further studies are needed for developing the triage scoring systems, to ensure effective long-term use of healthcare service capacity during pandemics.
Full text:
Available
Collection:
Databases of international organizations
Database:
WHO COVID
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
Language:
English
Journal:
Health Services [UU350] Prion, Viral, Bacterial and Fungal Pathogens of Humans [VV210] age blood pressure early treatment health care health services hospitals human diseases intensive care units medical treatment mortality pandemics patients performance pneumonia public health respiration retrospective studies scoring uraemia viral diseases man Turkey Homo Hominidae primates mammals vertebrates Chordata animals eukaryotes Developing Countries Mediterranean Region OECD Countries West Asia Asia coronavirus disease 2019 Severe acute respiratory syndrome coronavirus 2 death rate azotaemia azotemia uremia viral infections
Document Type:
Article
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