Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Aziz, F; Reisinger, AC; Aberer, F; Sourij, C; Tripolt, N; Siller-Matula, JM; von-Lewinski, D; Eller, P; Kaser, S; Sourij, H; On, Behalf, Of, The, Covid-In, Diabetes, In, Austria, Study, Group.
Simplified Acute Physiology Score 3 Performance in Austrian COVID-19 Patients Admitted to Intensive Care Units with and without Diabetes.
Viruses. 2022; 14(4):
Doi: 10.3390/v14040777
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- Führende Autor*innen der Med Uni Graz
- Aziz Faisal
- Sourij Harald
- Co-Autor*innen der Med Uni Graz
- Aberer Felix
- Eller Philipp
- Reisinger Alexander Christian
- Sourij Caren
- Tripolt Norbert
- von Lewinski Dirk
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- Abstract:
- This study evaluated and compared the performance of simplified acute physiology score 3 (SAPS 3) for predicting in-hospital mortality in COVID-19 patients admitted to intensive care units (ICUs) with and without diabetes in Austria. The Austrian national public health institute (GÖG) data of COVID-19 patients admitted to ICUs (n = 5850) were analyzed. Three versions of SAPS 3 were used: standard equation, Central European equation, and Austrian equation customized for COVID-19 patients. The observed in-hospital mortality was 38.9%, 42.9%, and 37.3% in all, diabetes, and non-diabetes patients, respectively. The overall C-statistics was 0.69 with an insignificant (p = 0.193) difference between diabetes (0.70) and non-diabetes (0.68) patients. The Brier score was > 0.20 for all SAPS 3 equations in all cohorts. Calibration was unsatisfactory for both standard and Central European equations in all cohorts, whereas it was satisfactory for the Austrian equation in diabetes patients only. The SAPS 3 score demonstrated low discrimination and accuracy in Austrian COVID-19 patients, with an insignificant difference between diabetes and non-diabetes. All equations were miscalibrated particularly in non-diabetes patients, while the Austrian equation showed satisfactory calibration in diabetes patients only. Both uncalibrated and calibrated versions of SAPS 3 should be used with caution in COVID-19 patients.
- Find related publications in this database (Keywords)
- SAPS 3
- simplified acute physiology score
- diabetes
- intensive care unit
- mortality
- COVID-19
- SARS-CoV-2