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Musaeva T.S.

Kuban State Medical University;
Regional Clinical Hospital

Mirtskhulava N.G.

Regional Clinical Hospital 2

Zybin K.D.

Kuban State Medical University;
Regional Clinical Hospital

Sinkov S.V.

Kuban State Medical University;
Regional Clinical Hospital

Astakhova E.O.

Kuban State Medical University

Lobur E.I.

Kuban State Medical University

Noskov A.A.

Kuban State Medical University

Zabolotskikh I.B.

Kuban State Medical University

Validity of qsofa, news and rems express-scales in patients with COVID-19 (virus not identified): a retrospective observational study

Authors:

Musaeva T.S., Mirtskhulava N.G., Zybin K.D., Sinkov S.V., Astakhova E.O., Lobur E.I., Noskov A.A., Zabolotskikh I.B.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2020;(6‑2): 27‑32

DOI: 10.17116/anaesthesiology202006227

Views: 1553

Downloaded: 87

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To cite this article:

Musaeva TS, Mirtskhulava NG, Zybin KD, et al. . Validity of qsofa, news and rems express-scales in patients with COVID-19 (virus not identified): a retrospective observational study. Russian Journal of Anesthesiology and Reanimatology. 2020;(6‑2):27‑32. (In Russ.)
https://doi.org/10.17116/anaesthesiology202006227

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OBJECTIVE

To compare the informative value of the Quick Sequential scales (Sepsis-Related Organ Failure Assessment, qSOFA), National Early Warning Score (NEWS) and Rapid Emergency Medicine Score (REMS) in patients with COVID-19 (no virus identified) admitted to ICU.

MATERIAL AND METHODS

A single-center retrospective observational study included 100 medical records of patients hospitalized to the Regional Clinical Hospital 2 in April — July 2020. Mean age of patients was 73.2 (range 37.0—94.0) years. ROC analysis of the qSOFA, NEWS and REMS scales regarding prediction of mortality was performed.

RESULTS

AUC for the NEWS scale (0.887 [95% CI 0.805—0.942]) was significantly higher compared to the qSOFA (0.802 [95% CI 0.708—0.877]) and REMS scales (0.836 [95% CI 0.746—0.904]) in prediction of mortality in patients with COVID-19 (no virus identified). There were significant differences between AUC for the NEWS and qSOFA scales (p=0.0032), while these values were similar for NEWS and REMS (p=0.2117), REMS and qSOFA (p=0.4669).

CONCLUSION

NEWS, qSOFA and REMS scales showed good calibration and resolution. The NEWS scale has a high statistical accuracy for resolution data, qSOFA — for calibration data.

Keywords:

express scales
SARS-CoV-2
predictive value

Authors:

Musaeva T.S.

Kuban State Medical University;
Regional Clinical Hospital

Mirtskhulava N.G.

Regional Clinical Hospital 2

Zybin K.D.

Kuban State Medical University;
Regional Clinical Hospital

Sinkov S.V.

Kuban State Medical University;
Regional Clinical Hospital

Astakhova E.O.

Kuban State Medical University

Lobur E.I.

Kuban State Medical University

Noskov A.A.

Kuban State Medical University

Zabolotskikh I.B.

Kuban State Medical University

Received:

12.09.2020

Accepted:

11.10.2020

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  2. Royal College of Physicians. National Early Warning Score (NEWS): Standardising the Assessment of Acute-Illness Severity in the NHS. Report of a Working Party. London: RCP; 2012. Accessed November 08, 2020. https://www.rcplondon.ac.uk/file/32/download?token=5NwjEyTq
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