@misc{10481/71801,
year = {2021},
url = {http://hdl.handle.net/10481/71801},
abstract = {At the moment, several COVID-19 scoring systems have been developed. It is necessary to
determine which one better predicts a poor outcome of the disease. We conducted a single-center
prospective cohort study to validate four COVID-19 prognosis scores in adult patients with confirmed
infection at ward. These are National Early Warning Score (NEWS) 2, Lung Ultrasound Score
(LUS), COVID-19 Worsening Score (COWS), and Spanish Society of Infectious Diseases and Clinical
Microbiology score (SEIMC Score). Our outcomes were the combined variable “poor outcome” (noninvasive mechanical ventilation, intubation, intensive care unit admission, and death at 28 days) and
death at 28 days. Scores were analysed using univariate logistic regression models, receiver operating
characteristic curves, and areas under the curve. Eighty-one patients were included, from which
21 had a poor outcome, and 9 died. We found a statistically significant correlation between poor
outcome and NEWS2, LUS > 15, and COWS. Death at 28 days was statistically correlated with NEWS2
and SEIMC Score although COWS also performs well. NEWS2, LUS, and COWS accurately predict
poor outcome; and NEWS2, SEIMC Score, and COWS are useful for anticipating death at 28 days.
Lung ultrasound is a diagnostic tool that should be included in COVID-19 patients evaluation.},
publisher = {MDPI},
keywords = {SARS-CoV-2},
keywords = {COVID-19},
keywords = {Lung},
keywords = {Ultrasound},
keywords = {Early warning score},
title = {Lung Ultrasound, Clinical and Analytic Scoring Systems as Prognostic Tools in SARS-CoV-2 Pneumonia: A Validating Cohort},
doi = {10.3390/diagnostics11122211},
author = {Gil Rodríguez, Jaime and Martos Ruiz, Michel and Peregrina Rivas, José Antonio and Aranda Laserna, Pablo and Benavente Fernández, Alberto and Guirao Arrabal, Emilio and Melchor Rodríguez, Juan Manuel},
}