eprintid: 14584 rev_number: 8 eprint_status: archive userid: 2 dir: disk0/00/01/45/84 datestamp: 2024-10-08 23:30:07 lastmod: 2024-10-08 23:30:09 status_changed: 2024-10-08 23:30:07 type: article metadata_visibility: show creators_name: de Santos Castro, Pedro Ángel creators_name: del Pozo Vegas, Carlos creators_name: Pinilla Arribas, Leyre Teresa creators_name: Zalama Sánchez, Daniel creators_name: Sanz-García, Ancor creators_name: Vásquez del Águila, Tony Giancarlo creators_name: González Izquierdo, Pablo creators_name: de Santos Sánchez, Sara creators_name: Mazas Pérez-Oleaga, Cristina creators_name: Dominguez Azpíroz, Irma creators_name: Elío Pascual, Iñaki creators_name: Martín-Rodríguez, Francisco creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: cristina.mazas@uneatlantico.es creators_id: irma.dominguez@unini.edu.mx creators_id: inaki.elio@uneatlantico.es creators_id: title: Performance of the 4C and SEIMC scoring systems in predicting mortality from onset to current COVID-19 pandemic in emergency departments ispublished: pub subjects: uneat_bm divisions: uneatlantico_produccion_cientifica divisions: unincol_produccion_cientifica divisions: uninimx_produccion_cientifica divisions: uninipr_produccion_cientifica divisions: unic_produccion_cientifica divisions: uniromana_produccion_cientifica full_text_status: public keywords: COVID-19 pandemic, Scoring systems, 4C mortality score, SEIMC score, Mortality, Emergency department abstract: The evolution of the COVID-19 pandemic has been associated with variations in clinical presentation and severity. Similarly, prediction scores may suffer changes in their diagnostic accuracy. The aim of this study was to test the 30-day mortality predictive validity of the 4C and SEIMC scores during the sixth wave of the pandemic and to compare them with those of validation studies. This was a longitudinal retrospective observational study. COVID-19 patients who were admitted to the Emergency Department of a Spanish hospital from December 15, 2021, to January 31, 2022, were selected. A side-by-side comparison with the pivotal validation studies was subsequently performed. The main measures were 30-day mortality and the 4C and SEIMC scores. A total of 27,614 patients were considered in the study, including 22,361 from the 4C, 4,627 from the SEIMC and 626 from our hospital. The 30-day mortality rate was significantly lower than that reported in the validation studies. The AUCs were 0.931 (95% CI: 0.90–0.95) for 4C and 0.903 (95% CI: 086–0.93) for SEIMC, which were significantly greater than those obtained in the first wave. Despite the changes that have occurred during the coronavirus disease 2019 (COVID-19) pandemic, with a reduction in lethality, scorecard systems are currently still useful tools for detecting patients with poor disease risk, with better prognostic capacity. date: 2024-10 publication: Scientific Reports volume: 14 number: 1 id_number: doi:10.1038/S41598-024-73664-6 refereed: TRUE issn: 2045-2322 official_url: http://doi.org/10.1038/S41598-024-73664-6 access: open language: en citation: Artículo Materias > Biomedicina Universidad Europea del Atlántico > Investigación > Producción Científica Fundación Universitaria Internacional de Colombia > Investigación > Producción Científica Universidad Internacional Iberoamericana México > Investigación > Producción Científica Universidad Internacional Iberoamericana Puerto Rico > Investigación > Artículos y libros Universidad Internacional do Cuanza > Investigación > Producción Científica Universidad de La Romana > Investigación > Producción Científica Abierto Inglés The evolution of the COVID-19 pandemic has been associated with variations in clinical presentation and severity. Similarly, prediction scores may suffer changes in their diagnostic accuracy. The aim of this study was to test the 30-day mortality predictive validity of the 4C and SEIMC scores during the sixth wave of the pandemic and to compare them with those of validation studies. This was a longitudinal retrospective observational study. COVID-19 patients who were admitted to the Emergency Department of a Spanish hospital from December 15, 2021, to January 31, 2022, were selected. A side-by-side comparison with the pivotal validation studies was subsequently performed. The main measures were 30-day mortality and the 4C and SEIMC scores. A total of 27,614 patients were considered in the study, including 22,361 from the 4C, 4,627 from the SEIMC and 626 from our hospital. The 30-day mortality rate was significantly lower than that reported in the validation studies. The AUCs were 0.931 (95% CI: 0.90–0.95) for 4C and 0.903 (95% CI: 086–0.93) for SEIMC, which were significantly greater than those obtained in the first wave. Despite the changes that have occurred during the coronavirus disease 2019 (COVID-19) pandemic, with a reduction in lethality, scorecard systems are currently still useful tools for detecting patients with poor disease risk, with better prognostic capacity. metadata de Santos Castro, Pedro Ángel; del Pozo Vegas, Carlos; Pinilla Arribas, Leyre Teresa; Zalama Sánchez, Daniel; Sanz-García, Ancor; Vásquez del Águila, Tony Giancarlo; González Izquierdo, Pablo; de Santos Sánchez, Sara; Mazas Pérez-Oleaga, Cristina; Dominguez Azpíroz, Irma; Elío Pascual, Iñaki y Martín-Rodríguez, Francisco mail SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, cristina.mazas@uneatlantico.es, irma.dominguez@unini.edu.mx, inaki.elio@uneatlantico.es, SIN ESPECIFICAR (2024) Performance of the 4C and SEIMC scoring systems in predicting mortality from onset to current COVID-19 pandemic in emergency departments. Scientific Reports, 14 (1). ISSN 2045-2322 document_url: http://repositorio.unib.org/id/eprint/14584/1/s41598-024-73664-6.pdf