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primary topic: Performance of the 4C and SEIMC scoring systems in predicting mortality from onset to current COVID-19 pandemic in emergency departments

Performance of the 4C and SEIMC scoring systems in predicting mortality from onset to current COVID-19 pandemic in emergency departments
type: AcademicArticle
type: Article
abstract: The evolution of the COVID-19 pandemic has been associated with variations in clinical presentation and severity. Similarly, prediction scores may suffer changes in their diagnostic accuracy. The aim of this study was to test the 30-day mortality predictive validity of the 4C and SEIMC scores during the sixth wave of the pandemic and to compare them with those of validation studies. This was a longitudinal retrospective observational study. COVID-19 patients who were admitted to the Emergency Department of a Spanish hospital from December 15, 2021, to January 31, 2022, were selected. A side-by-side comparison with the pivotal validation studies was subsequently performed. The main measures were 30-day mortality and the 4C and SEIMC scores. A total of 27,614 patients were considered in the study, including 22,361 from the 4C, 4,627 from the SEIMC and 626 from our hospital. The 30-day mortality rate was significantly lower than that reported in the validation studies. The AUCs were 0.931 (95% CI: 0.90–0.95) for 4C and 0.903 (95% CI: 086–0.93) for SEIMC, which were significantly greater than those obtained in the first wave. Despite the changes that have occurred during the coronavirus disease 2019 (COVID-19) pandemic, with a reduction in lethality, scorecard systems are currently still useful tools for detecting patients with poor disease risk, with better prognostic capacity.
date: 2024-10
volume: 14
issue: 1
is part of: Scientific Reports
status: peerReviewed
status: published
author list: authors
type: EPrint
type: ArticleEPrint
is part of: repository
has document: Performance of the 4C and SEIMC scoring systems in predicting mortality from onset to current COVID-19 pandemic in emergency departments (Texto)
has document: Performance of the 4C and SEIMC scoring systems in predicting mortality from onset to current COVID-19 pandemic in emergency departments (Otro)
subject: Biomedicine

Performance of the 4C and SEIMC scoring systems in predicting mortality from onset to current COVID-19 pandemic in emergency departments (Texto)
type: Document
has file: s41598-024-73664-6.pdf
has part: s41598-024-73664-6.pdf

Scientific Reports
type: Collection
issn: 20452322

Iñaki Elío Pascual
type: Person
given name: Iñaki
family name: Elío Pascual

Cristina Mazas Pérez-Oleaga
type: Person
given name: Cristina
family name: Mazas Pérez-Oleaga

Pedro Ángel de Santos Castro
type: Person
given name: Pedro Ángel
family name: de Santos Castro

Irma Dominguez Azpíroz
type: Person
given name: Irma
family name: Dominguez Azpíroz

Francisco Martín-Rodríguez
type: Person
given name: Francisco
family name: Martín-Rodríguez

Tony Giancarlo Vásquez del Águila
type: Person
given name: Tony Giancarlo
family name: Vásquez del Águila

Pablo González Izquierdo
type: Person
given name: Pablo
family name: González Izquierdo

Daniel Zalama Sánchez
type: Person
given name: Daniel
family name: Zalama Sánchez

Leyre Teresa Pinilla Arribas
type: Person
given name: Leyre Teresa
family name: Pinilla Arribas

Sara de Santos Sánchez
type: Person
given name: Sara
family name: de Santos Sánchez

Ancor Sanz-García
type: Person
given name: Ancor
family name: Sanz-García

Carlos del Pozo Vegas
type: Person
given name: Carlos
family name: del Pozo Vegas

Performance of the 4C and SEIMC scoring systems in predicting mortality from onset to current COVID-19 pandemic in emergency departments (Otro)
type: Document
is version of: Performance of the 4C and SEIMC scoring systems in predicting mortality from onset to current COVID-19 pandemic in emergency departments (Texto)
is volatile version of: Performance of the 4C and SEIMC scoring systems in predicting mortality from onset to current COVID-19 pandemic in emergency departments (Texto)
is index codes version of: Performance of the 4C and SEIMC scoring systems in predicting mortality from onset to current COVID-19 pandemic in emergency departments (Texto)
has file: indexcodes.txt
has part: indexcodes.txt

HTML Summary of #14584 Performance of the 4C and SEIMC scoring systems in predicting mortality from onset to current COVID-19 pandemic in emergency departments
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primary topic: Performance of the 4C and SEIMC scoring systems in predicting mortality from onset to current COVID-19 pandemic in emergency departments

Biomedicine
type: Concept
preferred label: Biomedicina @es