prikaz prve stranice dokumenta The performance of the WHO COVID-19 severity classification, COVID-GRAM, VACO Index, 4C Mortality, and CURB-65 prognostic scores in hospitalized COVID-19 patients: data on 4014 patients from a tertiary center registry
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Scientific paper - Original scientific paper
The performance of the WHO COVID-19 severity classification, COVID-GRAM, VACO Index, 4C Mortality, and CURB-65 prognostic scores in hospitalized COVID-19 patients: data on 4014 patients from a tertiary center registry
Croatian Medical Journal, 64 (2023), 1; 13-20. urn:nbn:hr:105:554379
Lucijanić, Marko; Piskač Živković, Nevenka; Režić, Tanja; Durlen, Ivan; Stojić, Josip; Jurin, Ivana; Šakota, Sara; Filipović, Dora; Kurjaković, Iva; Jordan, Ana; Bušić, Nikolina; Pavić, Josipa; Lukšić, Ivica; Baršić, Bruno

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

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Lucijanić, M., Piskač Živković, N., Režić, T., Durlen, I., Stojić, J., Jurin, I. ... Baršić, B. (2023). The performance of the WHO COVID-19 severity classification, COVID-GRAM, VACO Index, 4C Mortality, and CURB-65 prognostic scores in hospitalized COVID-19 patients: data on 4014 patients from a tertiary center registry. Croatian Medical Journal, 64. (1), 13-20. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:554379

Lucijanić, Marko, et al. "The performance of the WHO COVID-19 severity classification, COVID-GRAM, VACO Index, 4C Mortality, and CURB-65 prognostic scores in hospitalized COVID-19 patients: data on 4014 patients from a tertiary center registry." Croatian Medical Journal, vol. 64, no. 1, 2023, pp. 13-20. https://urn.nsk.hr/urn:nbn:hr:105:554379

Lucijanić, Marko, Nevenka Piskač Živković, Tanja Režić, Ivan Durlen, Josip Stojić, Ivana Jurin, Sara Šakota, et al. "The performance of the WHO COVID-19 severity classification, COVID-GRAM, VACO Index, 4C Mortality, and CURB-65 prognostic scores in hospitalized COVID-19 patients: data on 4014 patients from a tertiary center registry." Croatian Medical Journal 64, no. 1 (2023): 13-20. https://urn.nsk.hr/urn:nbn:hr:105:554379

Lucijanić, M., et al. (2023) 'The performance of the WHO COVID-19 severity classification, COVID-GRAM, VACO Index, 4C Mortality, and CURB-65 prognostic scores in hospitalized COVID-19 patients: data on 4014 patients from a tertiary center registry', Croatian Medical Journal, 64(1), pp. 13-20. Available at: https://urn.nsk.hr/urn:nbn:hr:105:554379 (Accessed 05 November 2024)

Lucijanić M, Piskač Živković N, Režić T, Durlen I, Stojić J, Jurin I, and sur.. The performance of the WHO COVID-19 severity classification, COVID-GRAM, VACO Index, 4C Mortality, and CURB-65 prognostic scores in hospitalized COVID-19 patients: data on 4014 patients from a tertiary center registry. Croatian Medical Journal [Internet]. 2023 February 28 [cited 2024 November 05];64(1):13-20. Available at: https://urn.nsk.hr/urn:nbn:hr:105:554379

M. Lucijanić, et al., "The performance of the WHO COVID-19 severity classification, COVID-GRAM, VACO Index, 4C Mortality, and CURB-65 prognostic scores in hospitalized COVID-19 patients: data on 4014 patients from a tertiary center registry", Croatian Medical Journal, vol. 64, no. 1, pp. 13-20, February 2023. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:554379. [Accessed: 05 November 2024]

Metadata
Title (english)The performance of the WHO COVID-19 severity classification, COVID-GRAM, VACO Index, 4C Mortality, and CURB-65 prognostic scores in hospitalized COVID-19 patients: data on 4014 patients from a tertiary center registry
AuthorMarko Lucijanić
AuthorNevenka Piskač Živković
AuthorTanja Režić
AuthorIvan Durlen
AuthorJosip Stojić
AuthorIvana Jurin
AuthorSara Šakota
AuthorDora Filipović
AuthorIva Kurjaković
AuthorAna Jordan
AuthorNikolina Bušić
AuthorJosipa Pavić
AuthorIvica Lukšić
AuthorBruno Baršić
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Internal Medicine)
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Maxillofacial Surgery and Dentistry)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract (english)
Aim: To evaluate the predictive properties of several common prognostic scores regarding survival outcomes in hospitalized COVID-19 patients. Methods: We retrospectively reviewed the medical records of 4014 consecutive COVID-19 patients hospitalized in our tertiary level institution from March 2020 to March 2021. Prognostic properties of the WHO COVID-19 severity classification, COVID-GRAM, Veterans Health Administration COVID-19 (VACO) Index, 4C Mortality Score, and CURB-65 score regarding 30-day mortality, in-hospital mortality, presence of severe or critical disease on admission, need for an intensive care unit treatment, and mechanical ventilation during hospitalization were evaluated. Results: All of the investigated prognostic scores significantly distinguished between groups of patients with different 30-day mortality. The CURB-65 and 4C Mortality Score had the best prognostic properties for prediction of 30-day mortality (area under the curve [AUC] 0.761 for both) and in-hospital mortality (AUC 0.757 and 0.762, respectively). The 4C Mortality Score and COVID-GRAM best predicted the presence of severe or critical disease (AUC 0.785 and 0.717, respectively). In the multivariate analysis evaluating 30-day mortality, all scores mutually independently provided additional prognostic information, except the VACO Index, whose prognostic properties were redundant. Conclusion: Complex prognostic scores based on many parameters and comorbid conditions did not have better prognostic properties regarding survival outcomes than a simple CURB-65 prognostic score. CURB-65 also provides the largest number of prognostic categories (five), allowing more precise risk stratification than other prognostic scores.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCroatian Medical Journal
Numberingvol. 64, no. 1, pp. 13-20
p-ISSN0353-9504
e-ISSN1332-8166
URN:NBNurn:nbn:hr:105:554379
Publication2023-02-28
Document URLhttp://www.cmj.hr/2023/64/1/36864814.htm
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2023-03-21 12:12:55