Comparison of the efficacy of PSI, CURB-65, CALL and BCRSS in predicting prognosis and mortality in COVID-19 patients

Authors : Hatice Şeyma AKÇA, Abdullah ALGIN, Serdar ÖZDEMİR, Habib SEVİMLİ, Kamil KOKULU, Serkan Emre EROĞLU

Pages : 434-439

View : 54 | Download : 9

Publication Date : 2021-10-09

Article Type : Research Paper

Abstract :Introduction This study aimed to determine whether the PSI, CURB-65, CALL and BCRSS had any superiority over each other as a prognostic determinant in patients with COVID-19. Material and Method This prospective cohort study included patients over 18 years of age that presented to the emergency department between May 12 and August 12, 2020 and had a positive COVID-19 polymerase chain reaction insert ignore into journalissuearticles values(PCR); test. The PSI, CURB-65, CALL and BCRS scores were calculated. SPSS version 22 was used for all statistical analyses. Results A total of 213 patients with a positive COVID-19 PCR result were included in the study. The total 30-day mortality rate was determined as 14.08%. PSI, CURB-65, CALL and BCRSS had a statistically significant relationship with mortality insert ignore into journalissuearticles values(p<0.001);. The best parameter in predicting mortality was determined as PSI insert ignore into journalissuearticles values(area under the curve: 0.900; 95% CI: 0.972-0.828);. A positive correlation was found between each scoring system, both with the length of hospital stay insert ignore into journalissuearticles values(PSI, CURB-65, CALL and BCRSS: r=0.696, p=0; r=0.621, p=0; r=0.75, p=0; and r=0.666, p=0, respectively);. Conclusion Scoring systems, which include comorbidity, vital signs as well as laboratory, imaging findings, will be more effective than other scoring systems in determining the mortality in patients with covid-19.
Keywords : PSI, CURB 65, CALL, BCRSS, Covid 19

ORIGINAL ARTICLE URL