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Verfasst von:Abumayyaleh, Mohammad S. A. [VerfasserIn]   i
 Nuñez-Gil, Iván J. [VerfasserIn]   i
 El-Battrawy, Ibrahim [VerfasserIn]   i
 Estrada, Vicente [VerfasserIn]   i
 Becerra-Muñoz, Víctor Manuel [VerfasserIn]   i
 Uribarri, Aitor [VerfasserIn]   i
 Fernández-Rozas, Inmaculada [VerfasserIn]   i
 Feltes, Gisela [VerfasserIn]   i
 Arroyo-Espliguero, Ramón [VerfasserIn]   i
 Trabattoni, Daniela [VerfasserIn]   i
 López Pais, Javier [VerfasserIn]   i
 Pepe, Martino [VerfasserIn]   i
 Romero, Rodolfo [VerfasserIn]   i
 Ortega-Armas, María Elizabeth [VerfasserIn]   i
 Bianco, Matteo [VerfasserIn]   i
 Astrua, Thamar Capel [VerfasserIn]   i
 D'Ascenzo, Fabrizio [VerfasserIn]   i
 Fabregat-Andres, Oscar [VerfasserIn]   i
 Ballester, Andrea [VerfasserIn]   i
 Marín, Francisco [VerfasserIn]   i
 Buonsenso, Danilo [VerfasserIn]   i
 Sanchez-Gimenez, Raul [VerfasserIn]   i
 Weiß, Christel [VerfasserIn]   i
 Fernandez Perez, Cristina [VerfasserIn]   i
 Fernández-Ortiz, Antonio [VerfasserIn]   i
 Macaya, Carlos [VerfasserIn]   i
 Akın, Ibrahim [VerfasserIn]   i
Titel:Sepsis of patients infected by SARS-CoV-2
Titelzusatz:real-world experience from the international HOPE-COVID-19-Registry and Validation of HOPE Sepsis Score
Verf.angabe:Mohammad Abumayyaleh, Iván J. Nuñez-Gil, Ibrahim El-Battrawy, Vicente Estrada, Víctor Manuel Becerra-Muñoz, Aitor Uribarri, Inmaculada Fernández-Rozas, Gisela Feltes, Ramón Arroyo-Espliguero, Daniela Trabattoni, Javier López Pais, Martino Pepe, Rodolfo Romero, María Elizabeth Ortega-Armas, Matteo Bianco, Thamar Capel Astrua, Fabrizio D'Ascenzo, Oscar Fabregat-Andres, Andrea Ballester, Francisco Marín, Danilo Buonsenso, Raul Sanchez-Gimenez, Christel Weiß, Cristina Fernandez Perez, Antonio Fernández-Ortiz, Carlos Macaya, Ibrahim Akin and HOPE COVID-19 investigators
E-Jahr:2021
Jahr:14 October 2021
Umfang:10 S.
Fussnoten:Gesehen am 23.12.2021
Titel Quelle:Enthalten in: Frontiers in medicine
Ort Quelle:Lausanne : Frontiers Media, 2014
Jahr Quelle:2021
Band/Heft Quelle:8(2021) vom: 14. Okt., Artikel-ID 728102, Seite 1-10
ISSN Quelle:2296-858X
Abstract:Background: Patients with sepsis with a concomitant coronavirus (COVID-19) infection are related to a high morbidity and mortality rate. We investigated a large cohort of patients with sepsis with a concomitant COVID-19, and we developed a risk score for the estimation of sepsis risk in COVID-19.Methods: We conducted a sub-analysis from the international Health Outcome Predictive Evaluation Registry for COVID-19 (HOPE-COVID-19-Registry, NCT04334291). Out of 5,837 patients with COVID-19, 624 patients were diagnosed with sepsis according to the Sepsis-3 International Consensus.Results: In multivariable analysis, the following risk factors were identified as independent predictors for developing sepsis: current smoking, tachypnoea (>22 breath per minute), hemoptysis, peripheral oxygen saturation (SpO2) <92%, blood pressure (BP) (systolic BP <90 mmHg and diastolic BP <60 mmHg), Glasgow Coma Scale (GCS) <15, elevated procalcitonin (PCT), elevated troponin I (TnI), and elevated creatinine >1.5 mg/dl. By assigning odds ratio (OR) weighted points to these variables, the following three risk categories were defined to develop sepsis during admission: low-risk group (probability of sepsis 3.1-11.8%); intermediate-risk group (24.8-53.8%); and high-risk-group (58.3-100%). A score of 1 was assigned to current smoking, tachypnoea, decreased SpO2, decreased BP, decreased GCS, elevated PCT, TnI, and creatinine, whereas a score of 2 was assigned to hemoptysis.Conclusions: The HOPE Sepsis Score including nine parameters is useful in identifying high-risk COVID-19 patients to develop sepsis. Sepsis in COVID-19 is associated with a high mortality rate.
DOI:doi:10.3389/fmed.2021.728102
URL:kostenfrei: Volltext: https://doi.org/10.3389/fmed.2021.728102
 kostenfrei: Volltext: https://www.frontiersin.org/article/10.3389/fmed.2021.728102
 DOI: https://doi.org/10.3389/fmed.2021.728102
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1783545968
Verknüpfungen:→ Zeitschrift
 
 
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