Analyzing prognosis and comparing predictive scoring systems for mortality of COVID-19 patients with liver cirrhosis: a multicenter retrospective study
Shou-Yen Chen, Chip-Jin Ng, Yan-Bo Huang, Hsiang-Yun Lo · 2024
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Description
Shou-Yen Chen, Chip-Jin Ng, Yan-Bo Huang, and Hsiang-Yun Lo search, in a 2024 study, for the best way to predict death in hospital patients who carry both COVID-19 and liver cirrhosis. The pairing is dangerous, and clinicians juggle several scoring systems built for one disease or the other. The team read the records of 1,368 such patients seen at emergency departments across two pandemic years.
Those who died arrived with lower blood pressure and oxygen, higher inflammation and liver markers, and slower clotting, and they were intubated and given steroids more often. Three scores predicted death well: the liver scores MELD and MELD-Na, and the World Health Organization's ordinal severity scale, which performed best of all. Clotting function, intubation, and steroid use stood out as the strongest individual flags. The authors recommend the simple severity scale first, with liver scores close behind.
Catalog record
| CREATOR | Shou-Yen Chen, Chip-Jin Ng, Yan-Bo Huang, Hsiang-Yun Lo |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 28 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |