A predictive score for progression of COVID-19 in hospitalized persons: a cohort study

NPJ Prim Care Respir Med. 2021 Jun 3;31(1):33. doi: 10.1038/s41533-021-00244-w.

Abstract

Accurate prediction of the risk of progression of coronavirus disease (COVID-19) is needed at the time of hospitalization. Logistic regression analyses are used to interrogate clinical and laboratory co-variates from every hospital admission from an area of 2 million people with sporadic cases. From a total of 98 subjects, 3 were severe COVID-19 on admission. From the remaining subjects, 24 developed severe/critical symptoms. The predictive model includes four co-variates: age (>60 years; odds ratio [OR] = 12 [2.3, 62]); blood oxygen saturation (<97%; OR = 10.4 [2.04, 53]); C-reactive protein (>5.75 mg/L; OR = 9.3 [1.5, 58]); and prothrombin time (>12.3 s; OR = 6.7 [1.1, 41]). Cutoff value is two factors, and the sensitivity and specificity are 96% and 78% respectively. The area under the receiver-operator characteristic curve is 0.937. This model is suitable in predicting which unselected newly hospitalized persons are at-risk to develop severe/critical COVID-19.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • C-Reactive Protein / analysis
  • COVID-19 / diagnosis*
  • COVID-19 / pathology
  • Child
  • Child, Preschool
  • Disease Progression
  • Female
  • Hospitalization / statistics & numerical data*
  • Humans
  • Infant
  • Logistic Models
  • Male
  • Middle Aged
  • Oxygen / blood
  • Prognosis
  • Prothrombin Time
  • ROC Curve
  • Risk Assessment
  • Sensitivity and Specificity
  • Young Adult

Substances

  • C-Reactive Protein
  • Oxygen