SO SÁNH GIÁ TRỊ TIÊN LƯỢNG SUY HÔ HẤP NẶNG CỦA THANG ĐIỂM qCSI VÀ CRB-65 TRÊN BỆNH NHÂN COVID-19

Abstract

Background: Corona virus disease 2019 (COVID-19) has diverse clinical manifestations, from asymptomatic infection to severe symptoms such as acute respiratory failure, severe pneumonia, multi-organ dysfunction and death. An early prognostic tool for the progression of severe respiratory failure in these COVID-19 patients can optimize treatment stratification and determine appropriate care planning, especially at the local health centers. Objectives: Compare the prognostic value of critical respiratory illness 24 hours from admission of qCSI and CRB-65 scores in COVID-19 patients. Materials and methods: A descriptive cross-sectional study on 220 COVID-19 patients from December 2021 to April 2022 at the COVID-19 treatment center in Tinh Bien district, An Giang province. Results: The qCSI score had a very good predictive value for critical respiratory illness after 24 hours with an area under the curve (AUC) of 0.958 (p<0.0001). The qCSI optimal cut-off point was at 8 with a sensitivity of 100% and a specificity of 85.5%. The CRB-65 score had a average value in predicting critical respiratory illnes after 24 hours with an AUC of 0.779 (p<0.0001). The optimal cut-off point of the CRB65 scale was at 1 with a sensitivity of 75% and a specificity of 73.9%. Conclusion: The qCSI score has a better prognostic value for critical respiratory illness 24 hours from admission than the CRB65 score.