tetano
Editor, Senior Moderator
Int J Crit Illn Inj Sci
. 2022 Oct-Dec;12(4):222-228.
doi: 10.4103/ijciis.ijciis_29_22. Epub 2022 Dec 26.
MELD-Na score, Acute Physiologic and Chronic Health Evaluation II score, and SOFA score and their association with mortality in critically ill COVID-19 patients with liver injury: A retrospective single-center study
Sandra Gomez-Paz[SUP] 1 [/SUP], Eric Lam[SUP] 2 [/SUP], Luis Gonzalez-Mosquera[SUP] 2 [/SUP], Brian Berookhim[SUP] 2 [/SUP], Paul Mustacchia[SUP] 1 [/SUP], Joshua Fogel[SUP] 3 [/SUP], Sofia Rubinstein[SUP] 4 [/SUP]
Affiliations
Abstract
Background: The Acute Physiologic and Chronic Health Evaluation II (APACHE-II), Sequential Organ Failure Assessment (SOFA), and Model for End-Stage Liver Disease modified for Sodium concentration (MELD-Na) scores are validated to predict disease mortality. We studied the prognostic utility of these scoring systems in critically ill coronavirus disease 2019 (COVID-19) patients with liver injury.
Methods: This was a retrospective study of 291 confirmed COVID-19 and liver injury patients requiring intensive care unit level of care. These patients required supplemental oxygen requirement with fraction of inspired oxygen >55% and/or the use of vasopressor. MELD-Na, SOFA, and APACHE-II scores were adjusted. Outcomes were mortality and length of stay (LOS).
Results: SOFA (odds ratio: 0.78, 95% confidence interval: 0.63-0.98, P < 0.05) was associated with decreased odds for mortality. APACHE-II and MELD-Na were not associated with mortality or LOS.
Conclusions: We suggest that the novel nature of COVID-19 necessitates new scoring systems to predict outcomes in critically ill COVID-19 patients with liver injury.
Keywords: Acute Physiologic and Chronic Health Evaluation II; acute; coronavirus disease 2019; intensive care unit; liver failure; mortality.
. 2022 Oct-Dec;12(4):222-228.
doi: 10.4103/ijciis.ijciis_29_22. Epub 2022 Dec 26.
MELD-Na score, Acute Physiologic and Chronic Health Evaluation II score, and SOFA score and their association with mortality in critically ill COVID-19 patients with liver injury: A retrospective single-center study
Sandra Gomez-Paz[SUP] 1 [/SUP], Eric Lam[SUP] 2 [/SUP], Luis Gonzalez-Mosquera[SUP] 2 [/SUP], Brian Berookhim[SUP] 2 [/SUP], Paul Mustacchia[SUP] 1 [/SUP], Joshua Fogel[SUP] 3 [/SUP], Sofia Rubinstein[SUP] 4 [/SUP]
Affiliations
- PMID: 36779216
- PMCID: PMC9910115
- DOI: 10.4103/ijciis.ijciis_29_22
Abstract
Background: The Acute Physiologic and Chronic Health Evaluation II (APACHE-II), Sequential Organ Failure Assessment (SOFA), and Model for End-Stage Liver Disease modified for Sodium concentration (MELD-Na) scores are validated to predict disease mortality. We studied the prognostic utility of these scoring systems in critically ill coronavirus disease 2019 (COVID-19) patients with liver injury.
Methods: This was a retrospective study of 291 confirmed COVID-19 and liver injury patients requiring intensive care unit level of care. These patients required supplemental oxygen requirement with fraction of inspired oxygen >55% and/or the use of vasopressor. MELD-Na, SOFA, and APACHE-II scores were adjusted. Outcomes were mortality and length of stay (LOS).
Results: SOFA (odds ratio: 0.78, 95% confidence interval: 0.63-0.98, P < 0.05) was associated with decreased odds for mortality. APACHE-II and MELD-Na were not associated with mortality or LOS.
Conclusions: We suggest that the novel nature of COVID-19 necessitates new scoring systems to predict outcomes in critically ill COVID-19 patients with liver injury.
Keywords: Acute Physiologic and Chronic Health Evaluation II; acute; coronavirus disease 2019; intensive care unit; liver failure; mortality.