National Early Warning Score 2 and laboratory predictors correlate with clinical deterioration in hospitalized patients with COVID-19

Author:

Tuncer Gulsah1ORCID,Surme Serkan1ORCID,Bayramlar Osman F2ORCID,Karanalbant Hatice K1ORCID,Copur Betul1ORCID,Yazla Meltem1ORCID,Zerdali Esra1ORCID,Nakir Inci Y1ORCID,Cinar Ayse RK1ORCID,Buyukyazgan Ahmet1ORCID,Balli Hatice1ORCID,Kurekci Yesim1ORCID,Simsek-Yavuz Serap3ORCID,Sonmez Mehmet M4ORCID,Sengoz Gonul1ORCID,Pehlivanoglu Filiz1ORCID

Affiliation:

1. Department of Infectious Diseases & Clinical Microbiology, Haseki Training & Research Hospital, Istanbul, Turkey

2. Department of Public Health, Bakirkoy District Health Directorate, Istanbul, Turkey

3. Department of Infectious Diseases & Clinical Microbiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey

4. Department of Orthopaedic Surgery & Traumatology, Haseki Training & Research Hospital, Istanbul, Turkey

Abstract

Aim: We aimed to determine the prognostic values of the National Early Warning Score 2 (NEWS2) and laboratory parameters during the first week of COVID-19. Materials & methods: All adult patients who were hospitalized for confirmed COVID-19 between 11 March and 11 May 2020 were retrospectively included. Results: Overall, 611 patients were included. Our results showed that NEWS2, procalcitonin, neutrophil/lymphocyte ratio and albumin at D0, D3, D5 and D7 were the best predictors for clinical deterioration defined as a composite of ICU admission during hospitalization or in-hospital death. Procalcitonin had the highest odds ratio for clinical deterioration on all days. Conclusion: This study provides a list of several laboratory parameters correlated with NEWS2 and potential predictors for clinical deterioration in patients with COVID-19.

Publisher

Future Medicine Ltd

Subject

Biochemistry (medical),Clinical Biochemistry,Drug Discovery

Reference26 articles.

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