J 2021

Covidogram as a simple tool for predicting severe course of COVID-19: population-based study

JARKOVSKÝ, Jiří, Klára BENEŠOVÁ, Vladimir CERNY, Jarmila RAZOVA, Petr KALA et. al.

Základní údaje

Originální název

Covidogram as a simple tool for predicting severe course of COVID-19: population-based study

Autoři

JARKOVSKÝ, Jiří (203 Česká republika, domácí), Klára BENEŠOVÁ (203 Česká republika, domácí), Vladimir CERNY (203 Česká republika), Jarmila RAZOVA (203 Česká republika), Petr KALA (203 Česká republika, domácí), Jiří DOLINA (203 Česká republika, domácí), Ondřej MÁJEK (203 Česká republika, domácí), Silvie SEBESTOVA (203 Česká republika), Monika BEZDEKOVA (203 Česká republika), Hana MELICHAROVA (203 Česká republika), Lenka ŠNAJDROVÁ (203 Česká republika, domácí), Ladislav DUŠEK (203 Česká republika, domácí) a Jiří PAŘENICA (203 Česká republika, garant, domácí)

Vydání

BMJ Open, London, BMJ Publishing Group, 2021, 2044-6055

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30218 General and internal medicine

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 3.006

Kód RIV

RIV/00216224:14110/21:00121367

Organizační jednotka

Lékařská fakulta

UT WoS

000623282300020

Klíčová slova anglicky

COVID-19; gastroduodenal disease; organisation of health services

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 7. 4. 2021 12:39, Mgr. Tereza Miškechová

Anotace

V originále

Objectives COVID-19 might either be entirely asymptomatic or manifest itself with a large variability of disease severity. It is beneficial to identify early patients with a high risk of severe course. The aim of the analysis was to develop a prognostic model for the prediction of the severe course of acute respiratory infection. Design A population-based study. Setting Czech Republic. Participants The first 7455 consecutive patients with COVID-19 who were identified by reverse transcription-PCR testing from 1 March 2020 to 17 May 2020. Primary outcome Severe course of COVID-19. Result Of a total 6.2% of patients developed a severe course of COVID-19. Age, male sex, chronic kidney disease, chronic obstructive pulmonary disease, recent history of cancer, chronic heart failure, acid-related disorders treated with proton-pump inhibitors and diabetes mellitus were found to be independent negative prognostic factors (Area under the ROC Curve (AUC) was 0.893). The results were visualised by risk heat maps, and we called this diagram a 'covidogram'. Acid-related disorders treated with proton-pump inhibitors might represent a negative prognostic factor. Conclusion We developed a very simple prediction model called 'covidogram', which is based on elementary independent variables (age, male sex and the presence of several chronic diseases) and represents a tool that makes it possible to identify-with a high reliability-patients who are at risk of a severe course of COVID-19. Obtained results open clinically relevant question about the role of acid-related disorders treated by proton-pump inhibitors as predictor for severe course of COVID-19.