دورية أكاديمية
أعرض في EDS

Assessment of the ABC 2 -SPH risk score to predict invasive mechanical ventilation in COVID-19 patients and comparison to other scores.

التفاصيل البيبلوغرافية
العنوان: Assessment of the ABC 2 -SPH risk score to predict invasive mechanical ventilation in COVID-19 patients and comparison to other scores.
المؤلفون: Cimini CCR; Hospital Santa Rosália, Teófilo Otoni, Minas Gerais, Brazil.; Mucuri's Medical School and Telehealth Center, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Teófilo Otoni, Minas Gerais, Brazil., Delfino-Pereira P; Universidade Federal de Minas Gerais and Institute for Health and Technology Assessment (IATS), Porto Alegre, Rio Grande do Sul, Brazil., Pires MC; Department of Statistics, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Ramos LEF; Department of Statistics, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Gomes AGDR; Hospitais da Rede Mater Dei, Belo Horizonte, Minas Gerais, Brazil., Jorge AO; Hospital Risoleta Tolentino Neves, Belo Horizonte, Minas Gerais, Brazil., Fagundes AL; Hospital Universitário de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil., Garcia BM; Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Pessoa BP; Hospital Júlia Kubitschek, Belo Horizonte, Minas Gerais, Brazil., de Carvalho CA; Hospital João XXIII, Belo Horizonte, Minas Gerais, Brazil., Ponce D; Hospital das Clínicas da Faculdade de Medicina de Botucatu, Av. Prof. Mário Rubens Guimarães Montenegro, UNESP, Botucatu, São Paulo, Brazil., Rios DRA; Universidade Federal de São João del-Rei, Divinópolis, Minas Gerais, Brazil., Anschau F; Hospital Nossa Senhora da Conceição and Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil., Vigil FMB; Hospital Metropolitano Dr. Célio de Castro, Belo Horizonte, Minas Gerais, Brazil., Bartolazzi F; Hospital Santo Antônio, Curvelo, Minas Gerais, Brazil., Grizende GMS; Hospital Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil., Vietta GG; Hospital SOS Cárdio, Florianópolis, Santa Catarina, Brazil., Goedert GMDS; Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil., Nascimento GF; Hospital Unimed BH, Belo Horizonte, Minas Gerais, Brazil., Vianna HR; Hospital Universitário Ciências Médicas, Belo Horizonte, Minas Gerais, Brazil., Vasconcelos IM; Department of Internal Medicine, Medical School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.; Telehealth Center, University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., de Alvarenga JC; Hospital João XXIII, Belo Horizonte, Minas Gerais, Brazil., Chatkin JM; Hospital São Lucas PUCRS, Porto Alegre, Rio Grande do Sul, Brazil.; Pontifica Universidade Católica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil., Machado Rugolo J; Hospital das Clínicas da Faculdade de Medicina de Botucatu, Av. Prof. Mário Rubens Guimarães Montenegro, UNESP, Botucatu, São Paulo, Brazil., Ruschel KB; Institute for Health Technology Assessment (IATS/CNPq), Porto Alegre, Rio Grande do Sul, Brazil.; Hospital Mãe de Deus, Porto Alegre, Rio Grande do Sul, Brazil.; Hospital Universitário de Canoas, Canoas, Rio Grande do Sul, Brazil., Zandoná LB; Hospital Bruno Born, Lajeado, Rio Grande do Sul, Brazil., Menezes LSM; Hospital Metropolitano Odilon Behrens, Belo Horizonte, Minas Gerais, Brazil., de Castro LC; Hospital Bruno Born, Lajeado, Rio Grande do Sul, Brazil., Souza MD; Hospital Metropolitano Odilon Behrens, Belo Horizonte, Minas Gerais, Brazil., Carneiro M; Hospital Santa Cruz, Santa Cruz do Sul, Rio Grande do Sul, Brazil., Bicalho MAC; Hospital João XXIII, Belo Horizonte, Minas Gerais, Brazil.; Fundação Hospitalar do Estado de Minas Gerais (FHEMIG), Cidade Administrativa de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Cunha MIA; Centro Universitário de Belo Horizonte (UNIBH), Belo Horizonte, Minas Gerais, Brazil., Sacioto MF; Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., de Oliveira NR; Hospital Eduardo de Menezes, Belo Horizonte, Minas Gerais, Brazil., Andrade PGS; Telehealth Center, University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Lutkmeier R; Hospital Nossa Senhora da Conceição and Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil., Menezes RM; Hospital Santa Cruz, Santa Cruz do Sul, Rio Grande do Sul, Brazil., Ribeiro ALP; Cardiology Service, University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.; Department of Internal Medicine, Medical School and University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.; Institute for Health Technology Assessment (IATS), Porto Alegre, Rio Grande do Sul, Brazil., Marcolino MS; Department of Internal Medicine, Medical School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.; Telehealth Center, University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.; Institute for Health Technology Assessment (IATS/CNPq), Porto Alegre, Rio Grande do Sul, Brazil.
المصدر: Frontiers in medicine [Front Med (Lausanne)] 2023 Nov 16; Vol. 10, pp. 1259055. Date of Electronic Publication: 2023 Nov 16 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Frontiers Media S.A Country of Publication: Switzerland NLM ID: 101648047 Publication Model: eCollection Cited Medium: Print ISSN: 2296-858X (Print) Linking ISSN: 2296858X NLM ISO Abbreviation: Front Med (Lausanne) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Lausanne, Switzerland : Frontiers Media S.A., [2014]-
مستخلص: Background: Predicting the need for invasive mechanical ventilation (IMV) is important for the allocation of human and technological resources, improvement of surveillance, and use of effective therapeutic measures. This study aimed (i) to assess whether the ABC 2 -SPH score is able to predict the receipt of IMV in COVID-19 patients; (ii) to compare its performance with other existing scores; (iii) to perform score recalibration, and to assess whether recalibration improved prediction.
Methods: Retrospective observational cohort, which included adult laboratory-confirmed COVID-19 patients admitted in 32 hospitals, from 14 Brazilian cities. This study was conducted in two stages: (i) for the assessment of the ABC 2 -SPH score and comparison with other available scores, patients hospitalized from July 31, 2020, to March 31, 2022, were included; (ii) for ABC 2 -SPH score recalibration and also comparison with other existing scores, patients admitted from January 1, 2021, to March 31, 2022, were enrolled. For both steps, the area under the receiving operator characteristic score (AUROC) was calculated for all scores, while a calibration plot was assessed only for the ABC 2 -SPH score. Comparisons between ABC 2 -SPH and the other scores followed the Delong Test recommendations. Logistic recalibration methods were used to improve results and adapt to the studied sample.
Results: Overall, 9,350 patients were included in the study, the median age was 58.5 (IQR 47.0-69.0) years old, and 45.4% were women. Of those, 33.5% were admitted to the ICU, 25.2% received IMV, and 17.8% died. The ABC 2 -SPH score showed a significantly greater discriminatory capacity, than the CURB-65, STSS, and SUM scores, with potentialized results when we consider only patients younger than 80 years old (AUROC 0.714 [95% CI 0.698-0.731]). Thus, after the ABC 2 -SPH score recalibration, we observed improvements in calibration (slope = 1.135, intercept = 0.242) and overall performance (Brier score = 0.127).
Conclusion: The ABC 2 -SPHr risk score demonstrated a good performance to predict the need for mechanical ventilation in COVID-19 hospitalized patients under 80 years of age.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2023 Cimini, Delfino-Pereira, Pires, Ramos, Gomes, Jorge, Fagundes, Garcia, Pessoa, de Carvalho, Ponce, Rios, Anschau, Vigil, Bartolazzi, Grizende, Vietta, Goedert, Nascimento, Vianna, Vasconcelos, Alvarenga, Chatkin, Machado Rugolo, Ruschel, Zandoná, Menezes, Castro, Souza, Carneiro, Bicalho, Cunha, Sacioto, Lutkmeier, Oliveira, Andrade, Menezes, Ribeiro and Marcolino.)
References: MMWR Morb Mortal Wkly Rep. 2022 Jan 21;71(4):139-145. (PMID: 35085224)
Ann Intern Med. 2019 Jan 1;170(1):51-58. (PMID: 30596875)
BMC Med Res Methodol. 2022 Dec 12;22(1):316. (PMID: 36510134)
Emerg (Tehran). 2016 Spring;4(2):111-3. (PMID: 27274525)
J Med Virol. 2021 May;93(5):2662-2674. (PMID: 33200825)
Clin Exp Med. 2022 Feb;22(1):125-135. (PMID: 33891214)
Nat Med. 2022 Sep;28(9):1785-1790. (PMID: 35760080)
Mil Med. 2023 Mar 20;188(3-4):541-546. (PMID: 35639913)
BMJ. 2020 Apr 7;369:m1328. (PMID: 32265220)
Crit Care Explor. 2023 Mar 03;5(3):e0876. (PMID: 36890875)
Aging (Albany NY). 2020 Jun 4;12(11):10070-10086. (PMID: 32499448)
BMC Med. 2019 Dec 16;17(1):230. (PMID: 31842878)
Clin Infect Dis. 2020 Sep 12;71(6):1393-1399. (PMID: 32271369)
PLoS One. 2021 Feb 11;16(2):e0246318. (PMID: 33571301)
MMWR Morb Mortal Wkly Rep. 2023 Apr 28;72(17):463-468. (PMID: 37104244)
BMJ. 2020 Sep 9;370:m3339. (PMID: 32907855)
JAMA. 2020 Apr 7;323(13):1239-1242. (PMID: 32091533)
J Biomed Inform. 2009 Apr;42(2):377-81. (PMID: 18929686)
Intensive Care Med. 2020 Nov;46(11):2086-2088. (PMID: 33000290)
BMJ. 2015 Jan 07;350:g7594. (PMID: 25569120)
Epidemiol Infect. 2021 Jan 05;149:e144. (PMID: 33397542)
Thorax. 2007 Mar;62(3):253-9. (PMID: 16928720)
JAMA. 2020 May 26;323(20):2052-2059. (PMID: 32320003)
Int J Infect Dis. 2021 Sep;110:281-308. (PMID: 34311100)
Metabolism. 2020 Jul;108:154262. (PMID: 32422233)
Transplant Rev (Orlando). 2021 Jul;35(3):100628. (PMID: 34087553)
J Clin Epidemiol. 2010 Aug;63(8):938-9; author reply 939. (PMID: 20189763)
MMWR Morb Mortal Wkly Rep. 2022 Mar 25;71(12):459-465. (PMID: 35324878)
Ann Intern Med. 2015 Jan 6;162(1):W1-73. (PMID: 25560730)
Anaesthesia. 2020 Oct;75(10):1340-1349. (PMID: 32602561)
J Clin Anesth. 2020 Dec;67:110005. (PMID: 32707517)
PLoS One. 2021 Apr 5;16(4):e0248357. (PMID: 33819261)
Telemed J E Health. 2016 Nov;22(11):899-908. (PMID: 27167901)
Int J Infect Dis. 2021 Jun;107:300-310. (PMID: 33444752)
J Biomed Inform. 2019 Jul;95:103208. (PMID: 31078660)
Crit Care Med. 2007 May;35(5):1251-6. (PMID: 17417099)
Intensive Care Med. 1996 Jul;22(7):707-10. (PMID: 8844239)
Clin Microbiol Infect. 2020 Nov;26(11):1545-1553. (PMID: 32781244)
Biometrics. 1988 Sep;44(3):837-45. (PMID: 3203132)
BMJ Glob Health. 2021 Dec;6(12):. (PMID: 34916273)
Lancet Respir Med. 2021 Sep;9(9):989-998. (PMID: 34224674)
Lancet Respir Med. 2020 Sep;8(9):853-862. (PMID: 32735842)
Stat Med. 2004 Aug 30;23(16):2567-86. (PMID: 15287085)
فهرسة مساهمة: Keywords: COVID-19; intensive care unit; invasive mechanical ventilation; prognosis; risk assessment
تواريخ الأحداث: Date Created: 20231204 Latest Revision: 20231205
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10690599
DOI: 10.3389/fmed.2023.1259055
PMID: 38046414
قاعدة البيانات: MEDLINE
الوصف
تدمد:2296-858X
DOI:10.3389/fmed.2023.1259055