Introduction: There is the need of a simple but highly reliable score system for stratifying the risk of mortality and Intensive Care Unit (ICU) transfer in patients with SARS-CoV-2 pneumonia at the Emergency Room. Purpose: In this study, the ability of CURB-65, extended CURB-65, PSI and CALL scores and C-Reactive Protein (CRP) to predict intra-hospital mortality and ICU admission in patients with SARS-CoV-2 pneumonia were evaluated. Methods: During March-May 2020, a retrospective, single-center study including all consecutive adult patients with diagnosis of SARS-CoV-2 pneumonia was conducted. Clinical, laboratory and radiological data as well as CURB-65, expanded CURB-65, PSI and CALL scores were calculated based on data recorded at hospital admission. Results: Overall, 224 patients with documented SARS-CoV-2 pneumonia were included in the study. As for intra-hospital mortality (24/224, 11%), PSI performed better than all the other tested scores, which showed lower AUC values (AUC=0.890 for PSI versus AUC=0.885, AUC=0.858 and AUC=0.743 for expanded CURB-65, CURB-65 and CALL scores, respectively). Of note, the addition of hypoalbuminemia to the CURB-65 score increased the prediction value of intra-hospital mortality (AUC=0.905). All the tested scores were less predictive for the need of ICU transfer (26/224, 12%), with the best AUC for extended CURB-65 score (AUC= 0.708). Conclusion: The addition of albumin level to the easy-to-calculate CURB-65 score at hospital admission is able to improve the quality of prediction of intra-hospital mortality in patients with SARS-CoV-2 pneumonia.

Curb-65 plus hypoalbuminemia: a new score system for prediction of the in-hospital mortality risk in patients with sars-cov-2 pneumonia / Oliva, A.; Borrazzo, C.; Mascellino, M. T.; Curtolo, A.; Ismail, D. A.; Cancelli, F.; Galardo, G.; Bucci, T.; Ceccarelli, G.; D'Ettorre, G.; Pugliese, F.; Mastroianni, C. M.; Venditti, M.. - In: LE INFEZIONI IN MEDICINA. - ISSN 1124-9390. - 29:3(2021), pp. 408-415. [10.53854/liim-2903-12]

Curb-65 plus hypoalbuminemia: a new score system for prediction of the in-hospital mortality risk in patients with sars-cov-2 pneumonia

Oliva A.;Borrazzo C.;Mascellino M. T.;Curtolo A.;Ismail D. A.;Cancelli F.;Galardo G.;Bucci T.;Ceccarelli G.;D'ettorre G.;Pugliese F.;Mastroianni C. M.;Venditti M.
2021

Abstract

Introduction: There is the need of a simple but highly reliable score system for stratifying the risk of mortality and Intensive Care Unit (ICU) transfer in patients with SARS-CoV-2 pneumonia at the Emergency Room. Purpose: In this study, the ability of CURB-65, extended CURB-65, PSI and CALL scores and C-Reactive Protein (CRP) to predict intra-hospital mortality and ICU admission in patients with SARS-CoV-2 pneumonia were evaluated. Methods: During March-May 2020, a retrospective, single-center study including all consecutive adult patients with diagnosis of SARS-CoV-2 pneumonia was conducted. Clinical, laboratory and radiological data as well as CURB-65, expanded CURB-65, PSI and CALL scores were calculated based on data recorded at hospital admission. Results: Overall, 224 patients with documented SARS-CoV-2 pneumonia were included in the study. As for intra-hospital mortality (24/224, 11%), PSI performed better than all the other tested scores, which showed lower AUC values (AUC=0.890 for PSI versus AUC=0.885, AUC=0.858 and AUC=0.743 for expanded CURB-65, CURB-65 and CALL scores, respectively). Of note, the addition of hypoalbuminemia to the CURB-65 score increased the prediction value of intra-hospital mortality (AUC=0.905). All the tested scores were less predictive for the need of ICU transfer (26/224, 12%), with the best AUC for extended CURB-65 score (AUC= 0.708). Conclusion: The addition of albumin level to the easy-to-calculate CURB-65 score at hospital admission is able to improve the quality of prediction of intra-hospital mortality in patients with SARS-CoV-2 pneumonia.
2021
CALL score; CRP; CURB-65; extended CURB-65; hypoalbu-minemia; ICU admission; mortality; PSI score
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Curb-65 plus hypoalbuminemia: a new score system for prediction of the in-hospital mortality risk in patients with sars-cov-2 pneumonia / Oliva, A.; Borrazzo, C.; Mascellino, M. T.; Curtolo, A.; Ismail, D. A.; Cancelli, F.; Galardo, G.; Bucci, T.; Ceccarelli, G.; D'Ettorre, G.; Pugliese, F.; Mastroianni, C. M.; Venditti, M.. - In: LE INFEZIONI IN MEDICINA. - ISSN 1124-9390. - 29:3(2021), pp. 408-415. [10.53854/liim-2903-12]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1616104
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