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Comparison of 2 Risk Prediction Models Specific for COVID-19: The Brescia-COVID Respiratory Severity Scale Versus the Quick COVID-19 Severity Index

Published online by Cambridge University Press:  04 May 2020

Rohat Ak Open the ORCID record for Rohat Ak [Opens in a new window] ,
Erdem Kurt  and
Suphi Bahadirli
Rohat Ak*
Affiliation:
Kartal Dr. Lütfi Kırdar Şehir Hastanesi, Istanbul, Turkey
Erdem Kurt
Affiliation:
İstanbul Eğitim Araştırma Hastanesi, Istanbul, Turkey
Suphi Bahadirli
Affiliation:
Beylikdüzü Devlet Hastanesi, Istanbul, Turkey
*
Corresponding author: Rohat Ak, Email: rohatakmd@gmail.com.
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Abstract

Objective:

This study compared the prognostic performances of the Brescia-COVID Respiratory Severity Scale (BCRSS) and the Quick COVID-19 Severity Index (qCSI) scores in hospitalized patients diagnosed with COVID-19.

Methods:

The data of all adult patients (over 18 y of age) who were admitted into a state hospital with confirmed COVID-19 between May 1, 2020, and October 31, 2020, were retrospectively examined. The area under the receiver operating characteristic (ROC) curve, known as the area under the curve (AUC), was used to assess the BCRSS prediction rule and the qCSI score to assess the discriminatory power in predicting in-hospital mortality and intensive care unit (ICU) admission.

Results:

There were 341 patients included in this study. The mean age of the patients was 58.2 ± 17.2, of which 165 were men and 176 were women, and 61.3% of patients had at least 1 comorbidity. The most common comorbidity was hypertension. The predictive power scores of BCRSS and qCSI were found as very good in terms of in-hospital mortality (AUC 0.804 and 0.847, respectively) and likewise in terms of ICU admission (AUC 0.842 and 0.851, respectively).

Conclusions:

Both BCRSS and qCSI scoring systems were found to be successful in predicting in-hospital mortality and ICU admission in our patient population.

Keywords

COVID-19mortalityintensive care unitsscoring systems
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 15 , Issue 4 , August 2021 , pp. e46 - e50
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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