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2 "Ae-Rin Baek"
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Letter to the Editor
Pulmonary
Septic shock due to invasive pulmonary aspergillosis without conventional risk factors
Kyung Eun Shin, Shinhee Park, Ae-Rin Baek
Acute Crit Care. 2023;38(2):238-241.   Published online May 25, 2023
DOI: https://doi.org/10.4266/acc.2023.00437
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Original Article
Infection
In-hospital mortality prediction using frailty scale and severity score in elderly patients with severe COVID-19
Yong Sub Na, Jin Hyoung Kim, Moon Seong Baek, Won-Young Kim, Ae-Rin Baek, Bo young Lee, Gil Myeong Seong, Song-I Lee
Acute Crit Care. 2022;37(3):303-311.   Published online July 5, 2022
DOI: https://doi.org/10.4266/acc.2022.00017
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  • 226 Download
  • 7 Web of Science
  • 8 Crossref
AbstractAbstract PDF
Background
Elderly patients with coronavirus disease 2019 (COVID-19) have a high disease severity and mortality. However, the use of the frailty scale and severity score to predict in-hospital mortality in the elderly is not well established. Therefore, in this study, we investigated the use of these scores in COVID-19 cases in the elderly.
Methods
This multicenter retrospective study included severe COVID-19 patients admitted to seven hospitals in Republic of Korea from February 2020 to February 2021. We evaluated patients’ Acute Physiology and Chronic Health Evaluation (APACHE) II score; confusion, urea nitrogen, respiratory rate, blood pressure, 65 years of age and older (CURB-65) score; modified early warning score (MEWS); Sequential Organ Failure Assessment (SOFA) score; clinical frailty scale (CFS) score; and Charlson comorbidity index (CCI). We evaluated the predictive value using receiver operating characteristic (ROC) curve analysis.
Results
The study included 318 elderly patients with severe COVID-19 of whom 237 (74.5%) were survivors and 81 (25.5%) were non-survivors. The non-survivor group was older and had more comorbidities than the survivor group. The CFS, CCI, APACHE II, SOFA, CURB-65, and MEWS scores were higher in the non-survivor group than in the survivor group. When analyzed using the ROC curve, SOFA score showed the best performance in predicting the prognosis of elderly patients (area under the curve=0.766, P<0.001). CFS and SOFA scores were associated with in-hospital mortality in the multivariate analysis.
Conclusions
The SOFA score is an efficient tool for assessing in-hospital mortality in elderly patients with severe COVID-19.

Citations

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